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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STANFORD ALLEN OWEN, MD

Active Sole Proprietor

STANFORD ALLEN OWEN, MD is a Internal Medicine healthcare provider located in GULFPORT, Mississippi. NPI 1972587418 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · GULFPORT, MS

Registration Details

NPI Number
1972587418
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2005 (20.672306984784 yrs)
Last Updated
Sep 4, 2014
Licenses
013830 (LA)
08597 (MS)
08597 (MS)
Sole Proprietor
Yes

Practice Information

Address
3300 15TH ST
GULFPORT, MS, 395013901
Browse MS providers · Browse ZIP 39501
Phone
2288649669
Fax
2288649774
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Additional Specialty
Emergency Medicine

Other Internal Medicine Providers in GULFPORT, MS

Name Credential NPI
DR. BOYD P. BENEFIELD M.D. 1356302574
DR. LYNN LEATHERWOOD M.D. 1750342986
DR. DAVID SHANE PENDLEY M.D. 1548217896
DR. THOMAS BLANKS M.D. 1063452639
DR. GAIL FARRAR I M.D. 1649206210
PHILLIP D COMPTON II M.D. 1578591186
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.