W. B. Owen Edelen M.D.

NPI 1073613659 - Ophthalmology - 207W00000X

NPI Details
NPI 1073613659
Gender Male
Enumeration Date 09/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
250 E LIBERTY ST
SUITE 305
LOUISVILLE KY, 40202-1530, US
Phone (502) 585-4419
Fax (502) 585-4420
Business Location
250 E LIBERTY ST
SUITE 305
LOUISVILLE KY, 40202-1530, US
Phone (502) 585-4419
Fax (502) 585-4420
Toxanomy
Taxonomy Code 207W00000X
License State Kentucky
License Number 17405
Remove 1073613659 NPI Number
 

According to our database, Dr. W. B. Owen Edelen M.D. NPI is 1073613659, taxonomy code is 207W00000X and license number is 17405, license state is located at Kentucky. W. B. Owen Edelen M.D. physically located at 250 E Liberty St, Louisville KY, 40202-1530. NPI Number W. B. Owen Edelen M.D. has the Individual type.

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1073613659 NPI number is provided on an as is basis without warranty of any kind. 1073613659 is maintained by the National Plan & Provider Enumeration System. The contents of W. B. Owen Edelen M.D. are for informational purposes only.