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Search › Mississippi › 207R00000X

Stanford Owen, MD

NPI 1972587418 · on the registry since 2005 · sole proprietor

Practice

Address
3300 15th St
Gulfport, MS 39501
Phone
(228) 864-9669
Fax
(228) 864-9774
Organisation at this address
Center For Health Management, The
Internal Medicine Clinic Of Picayune
Center For Diabetes Management, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
207P00000X
Licence states on file
LA, MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi