Provider Demographics
NPI:1780624304
Name:OWENS, DAVID CHRISTIAN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHRISTIAN
Last Name:OWENS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1133 OCEAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3421
Mailing Address - Country:US
Mailing Address - Phone:228-872-7000
Mailing Address - Fax:228-872-9938
Practice Address - Street 1:1133 OCEAN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-3421
Practice Address - Country:US
Practice Address - Phone:228-872-7000
Practice Address - Fax:228-872-9938
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-04-15
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Provider Licenses
StateLicense IDTaxonomies
MS19460208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCI10445Medicare UPIN