Individual
DR. DANIEL D OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
942 W SHAWNEE ST, MUSKOGEE, OK 74401-3511
(918) 687-0772
(918) 687-0788
Mailing address
942 W SHAWNEE ST, MUSKOGEE, OK 74401-3511
(918) 687-0772
(918) 687-0788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2745
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200441540A
—
OK
Enumeration date
07/24/2012
Last updated
07/16/2015
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