MICHAEL TYLER OWEN

ALBUQUERQUE, NM
NPI1437898384
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2023-0025)
Enumeration Date2022-05-31
Last Update Date2023-07-13
Business Address
Mr. MICHAEL TYLER OWEN PA
3401 4TH ST NW
ALBUQUERQUE, NM 87107-2423
Phone number: 505-994-5300
Mailing Address
Mr. MICHAEL TYLER OWEN PA
4949 SAN PEDRO DR NE APT 40
ALBUQUERQUE, NM 87109-2551
Phone number: 575-706-4389