Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAX EDWARD OWEN, PA
ActiveMAX EDWARD OWEN, PA is a Physician Assistant healthcare provider located in HENRYETTA, Oklahoma. NPI 1811904071 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HENRYETTA, OK
Registration Details
- NPI Number
- 1811904071
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (20.051910322147 yrs)
- Last Updated
- Mar 19, 2013
- License
-
1540 (OK)
Practice Information
- Address
-
2405 WEST MAINHENRYETTA, OK, 744373893Browse OK providers · Browse ZIP 74437
- Phone
- 9186501180
- Fax
- 9186501294
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.