Healthcare Provider Details

I. General information

NPI: 1881797009
Provider Name (Legal Business Name): OWEN D. FOX D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2145 NOLL DR
LANCASTER PA
17603-7600
US

IV. Provider business mailing address

2145 NOLL DR
LANCASTER PA
17603-7600
US

V. Phone/Fax

Practice location:
  • Phone: 717-397-4921
  • Fax: 717-397-7170
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS012629
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberOS012629
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: