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NPI Code Detail

MEDICARE: OWC, INC.

MEDICARE: OWC, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2111N00000XChiropractorCHIA-1515ID

General Provider Information

NPI Number : 1053668889
Entity Type Code : Organization
Provider Name (Legal Business Name) : OWC, INC.
Provider Business Mailing Address
First Line : 830 MICHIGAN AVE
Second Line :
City : OROFINO
State : ID
Zip : 83544-7005
Country : US
Telephone Number : 208-476-7091
Fax Number : 866-993-2828
Provider Business Practice Location Address
First Line : 830 MICHIGAN AVE
Second Line :
City : OROFINO
State : ID
Zip : 83544-7005
Country : US
Telephone Number : 208-476-7091
Fax Number : 866-993-2828
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. DAMON J POPOVICS
Credential : DC
Telephone Number : 208-476-7091
Provider Enumeration Date : 08/10/2012
Last Update Date : 03/24/2020

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Directions to “OWC, INC. ” Practice Location

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