Provider Demographics
NPI:1437348943
Name:OWENS, CASEY RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:RAY
Last Name:OWENS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1055 N 500 W
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-3305
Mailing Address - Country:US
Mailing Address - Phone:801-354-8225
Mailing Address - Fax:801-418-0941
Practice Address - Street 1:1175 E 50 S
Practice Address - Street 2:STE 221
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2845
Practice Address - Country:US
Practice Address - Phone:801-772-0775
Practice Address - Fax:801-772-1941
Is Sole Proprietor?:No
Enumeration Date:2007-10-21
Last Update Date:2016-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT6359060-1205207R00000X, 207RG0100X
UT6359060-8905207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine