Whalio Doctors

NPI 1265413017

Fredrick Mark Owsley, MD

Practitioner Specialist Coeur D Alene, ID

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
Other Service Providers Taxonomy 174400000X Licence M6701 (ID)

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.