Individual
JONATHAN COOPER OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
104 MULLACH CT, SUITE 1000, WENTZVILLE, MO 63385-4852
(636) 327-0700
(636) 332-9103
Mailing address
1904 PROVIDENCE ESTATE DR, WENTZVILLE, MO 63385-3717
(636) 332-2569
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006028213
MO
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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