Provider Demographics
NPI:1790028199
Name:OWENS, PATRICK ROSS (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:ROSS
Last Name:OWENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 SAINT VINCENTS DR STE 402
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1613
Mailing Address - Country:US
Mailing Address - Phone:205-933-9277
Mailing Address - Fax:205-212-3544
Practice Address - Street 1:833 SAINT VINCENTS DR STE 402
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205
Practice Address - Country:US
Practice Address - Phone:205-933-9277
Practice Address - Fax:205-212-3544
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.022811207Y00000X
ALMD.37063207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology