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General NPI Number Information
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NPI Number | 1114133907
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Entity Type | Individual
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Provider Name | MICHAEL C OWENS DO
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 11/07/2011
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Provider Practice Location Address
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Address Line | 427 E CHEROKEE AVE
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City | ENID
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State | OK
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Zip | 73701-5823
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Country | US
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Telephone | 580-234-7246
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Fax | 580-233-2223
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Provider Business Mailing Address
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Address Line | 427 E CHEROKEE AVE
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City | ENID
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State | OK
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Zip | 73701-5823
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Country | US
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Telephone | 580-234-7246
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Fax | 580-233-2223
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 4609
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License Number State | OK
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