Individual
DR. JILL M. OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14 N 3RD ST, BRADFORD, PA 16701-3335
(814) 362-6962
(814) 362-4956
Mailing address
14 N 3RD ST, BRADFORD, PA 16701-3335
(814) 362-6962
(814) 362-4956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-068703-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001797208
—
PA
Enumeration date
06/22/2006
Last updated
09/21/2011
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