Ira Davis Owen MD

NPI 1104143874 - Family Medicine - 207Q00000X

NPI Details
NPI 1104143874
Gender Male
Enumeration Date 04/21/2010
Last Updated 06/18/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
3980 SHERIDAN DR
AMHERST NY, 14226-1727, US
Phone (716) 929-2800
Fax (716) 929-2819
Business Location
6 FOUNTAIN PLZ
BUFFALO NY, 14202-2211, US
Phone (716) 691-8838
Fax (716) 564-1134
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 275049
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According to our database, Dr. Ira Davis Owen MD NPI is 1104143874, taxonomy code is 207Q00000X and license number is 275049, license state is located at New York. Ira Davis Owen MD physically located at 3980 Sheridan Dr, Amherst NY, 14226-1727. NPI Number Ira Davis Owen MD has the Individual type.

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1104143874 NPI number is provided on an as is basis without warranty of any kind. 1104143874 is maintained by the National Plan & Provider Enumeration System. The contents of Ira Davis Owen MD are for informational purposes only.