Individual
ROBERT C OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6051 HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
PO BOX 635614, CINCINNATI, OH 45263-5614
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18953
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06782723
—
MS
01
—
P00270544
RRGA
MS
Enumeration date
07/05/2006
Last updated
12/03/2008
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