| Dick Owens Md Llc | |
|
904 26th St Haleyville AL 35565-1719 | |
| (205) 269-4616 | |
| Not Available |
| Full Name | Dick Owens Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 904 26th St, Haleyville, Alabama |
| Authorized Official Name and Position | Dick Owens (SOLE MEMBER) |
| Authorized Official Contact | 2052694616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dick Owens Md Llc Po Box 717 Haleyville AL 35565-0717 Ph: () - | Dick Owens Md Llc 904 26th St Haleyville AL 35565-1719 Ph: (205) 269-4616 |
| NPI Number | 1891140968 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Medicare PECOS PAC ID | 8325331101 |
|---|---|
| Medicare Enrollment ID | O20160801002785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891140968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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