Mayle Owen

NPI #1003627829 in Omaha, Nebraska

Provider Information

NPI Number: 1003627829
Entity Type: Individual
Name: Mayle Owen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 20, 2025
Last Updated: Jan 20, 2025

Practice Location

Address: 2816 N 165TH CIR
City: Omaha
State: Nebraska
ZIP Code: 68116-7502
Phone: (402) 312-1097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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