Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD-44501 | IA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD53998 | TN |
N | 207YP0228X | Pediatric Otolaryngology | MD-44501 | IA |
Y | 207YS0123X | Facial Plastic Surgeon | MD-44501 | IA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD-44501 | IA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD-44501 | IA |
NPI | 1255626685 |
---|---|
Provider Name | Dr. Scott R Owen |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2011 |
Last Update Date | 17/03/2018 |