Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 60617 | AZ |
Y | 208600000X | Surgeon | 60617 | AZ |
NPI | 1003227232 |
---|---|
Provider Name | Dr. Owen Thomas Mccabe |
First Address | Phoenix, AZ 85016-8034 |
Second Address | Phoenix, AZ 85016-8034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2014 |
Last Update Date | 20/04/2020 |