NPI 1265413017
Fredrick Mark Owsley, MD
Practice location
- Address
- 980 W Ironwood Dr STE 206, Coeur D Alene, ID 83814-2668
- Phone
- (208) 664-0165
- Fax
- (208) 664-5695
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1265413017
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Nov 2005
- Record last updated
- 16 Sep 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.