Individual
JAMES DOUGLAS OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4149 FALCON TER, TOBYHANNA, PA 18466-8145
(570) 817-3938
Mailing address
4149 FALCON TER, TOBYHANNA, PA 18466-8145
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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