Provider Demographics
NPI:1881610954
Name:OWENS, STEVEN DAVID (DSCPA-EM, PA-C)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DAVID
Last Name:OWENS
Suffix:
Gender:M
Credentials:DSCPA-EM, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 DRAFT RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:TN
Mailing Address - Zip Code:37640-7607
Mailing Address - Country:US
Mailing Address - Phone:910-309-4790
Mailing Address - Fax:
Practice Address - Street 1:155 MEMORIAL DR
Practice Address - Street 2:FIRSTHEALTH MOORE REGIONAL HOSPITAL (EMER DEPT)
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374
Practice Address - Country:US
Practice Address - Phone:910-692-8224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057776363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant