STACI D OWEN

SUMMIT MEDICAL GROUP, PLLC

Dr STACI D OWEN is a female medical professional, specializing in Physician Assistant. She graduated in 2015.

Contact

SUMMIT MEDICAL GROUP, PLLC

201 CORPORATE PL
ALCOA
TN
377011940

Tel: 8659846823

STACI D OWEN Information

Npi 1477919074
Pac Id 4688979297
Professional Enrollment Id I20160219000346
Last Name OWEN
First Name STACI
Middle Name D
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SUMMIT MEDICAL GROUP, PLLC
Group Practice Pac Id 2860396330
Number Of Group Practice Members 356
Line 1 Street Address 201 CORPORATE PL
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALCOA
State TN
Zip Code 377011940
Phone Number 8659846823
Hospital Affiliation Ccn 1 440011
Hospital Affiliation Lbn 1 BLOUNT MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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