Individual provider · Type 1 NPI

Fredrick Mark Owsley, MD

Specialist · Coeur D Alene, ID

NPI number 1265413017 Active

Practice location

980 W Ironwood Dr, Ste 206
Coeur D Alene, ID 83814-2668

Call (208) 664-0165 Map

Fax (208) 664-5695

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XM6701 (ID)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1265413017

Fredrick Mark Owsley, MD's National Provider Identifier is 1265413017, issued on Nov 9, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Sep 16, 2015.