MEDICARE: DR. DAVID CHRISTIAN OWENS M.D.

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
1	208800000X	Urology Physician	19460	MS

General Provider Information

NPI Number	:	1780624304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CHRISTIAN OWENS M.D.

Provider Business Mailing Address
First Line	:	1133 OCEAN SPRINGS RD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3421
Country	:	US
Telephone Number	:	228-872-7000
Fax Number	:	228-872-9938

Provider Business Practice Location Address
First Line	:	1133 OCEAN SPRINGS RD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3421
Country	:	US
Telephone Number	:	228-872-7000
Fax Number	:	228-872-9938

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	04/15/2020

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