Provider Demographics
NPI:1003965039
Name:OWSLEY, WILLIAM JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOHN
Last Name:OWSLEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2011 WESTCLIFF DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5599
Mailing Address - Country:US
Mailing Address - Phone:949-645-2520
Mailing Address - Fax:949-645-3502
Practice Address - Street 1:2011 WESTCLIFF DR
Practice Address - Street 2:SUITE 5
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5599
Practice Address - Country:US
Practice Address - Phone:949-645-2520
Practice Address - Fax:949-645-3502
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAC33164207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA35188Medicare UPIN