Provider Demographics
NPI:1528095627
Name:OWENS, WILLIAM I II (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:I
Last Name:OWENS
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:1100 COUNTRY HILLS DR
Mailing Address - Street 2:#200
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-2503
Mailing Address - Country:US
Mailing Address - Phone:801-399-5014
Mailing Address - Fax:
Practice Address - Street 1:1100 COUNTRY HILLS DR
Practice Address - Street 2:#200
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-2503
Practice Address - Country:US
Practice Address - Phone:801-399-5104
Practice Address - Fax:801-399-0830
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2013-08-14
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Provider Licenses
StateLicense IDTaxonomies
UT1596451205207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT041157004OtherMEDICARE RR
UT000005400Medicare PIN
UT041157004OtherMEDICARE RR