Individual
PETER JACOB OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2288
(717) 763-2100
Mailing address
503 N 21ST ST, CAMP HILL, PA 17011-2204
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD463382
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD463382
PA STATE MEDICAL LICENSE
PA
Enumeration date
03/24/2015
Last updated
11/16/2018
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