Individual provider · Type 1 NPI

Randall Lee Owen, PA-C

Surgical Physician Assistant · Hamden, CT

NPI number 1437591971 Active

Practice location

9 Washington Ave
Hamden, CT 06518-3267

Call (203) 865-6784 Map

Fax (203) 865-6788

Mailing address

7 Montoya Dr
Branford, CT 06405-2533

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA056252 (PA)
Physician Assistant 363A00000X0110004314 (VA)
Physician Assistant 363A00000X23.003095 (CT)
Medical Physician Assistant 363AM0700X23.003095 (CT)
Surgical Physician Assistant Primary 363AS0400X23.003095 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1437591971

Randall Lee Owen, PA-C's National Provider Identifier is 1437591971, issued on Jul 25, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hamden, CT. The record was last updated on Jun 29, 2021.