Provider Demographics
NPI:1689389256
Name:EWEN, UWE HORST
Entity Type:Individual
Prefix:
First Name:UWE
Middle Name:HORST
Last Name:EWEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2292 N RED CEDAR CIR
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-4420
Mailing Address - Country:US
Mailing Address - Phone:435-559-2504
Mailing Address - Fax:
Practice Address - Street 1:2292 N RED CEDAR CIR
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-4420
Practice Address - Country:US
Practice Address - Phone:435-559-2504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies