1598576399 NPI number — TRISTAN GAGE MEYER OWENS

Table of content: TRISTAN GAGE MEYER OWENS (NPI 1598576399)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598576399 NPI number — TRISTAN GAGE MEYER OWENS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEYER OWENS
Provider First Name:
TRISTAN
Provider Middle Name:
GAGE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
OWENS
Provider Other First Name:
TRISTAN
Provider Other Middle Name:
GAGE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1598576399
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11598 W ROCK VILLAGE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARANA
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85658-4591
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-551-5918
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8354 E NORTHFIELD BLVD UNIT 3700
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80238-3135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-551-5918
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/20/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)