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Individual

DR. JOEL DOUGLAS OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 ST. VINCENT CIRCLE, LITTLE ROCK, AR 72205-5423
(501) 552-3000
(501) 552-4181
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C5816
AR
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
C5816
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106182001
AR
01
1255368270
BCBS
AR
Enumeration date
06/26/2006
Last updated
08/27/2010
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