Individual
DR. JAY C OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 MEDICAL PLAZA DR, SUITE 130, ROSEVILLE, CA 95661-3087
(916) 773-8750
(916) 773-8751
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G30403
CA
2086X0206X
Surgical Oncology Physician
Primary
G30403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G304030
—
CA
Enumeration date
09/15/2006
Last updated
10/28/2015
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