NPI | 1558831289 |
---|---|
Former Legal Business Name | SYLVIA A OWEN MD PC |
Entity Type | Organization |
Authorized Contact | ANDREW SHORS Physician/Shareholder 406-314-4788 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Enumeration Date | 2018-11-26 |
Last Update Date | 2022-10-31 |