Individual
DR. JAMES WILSON OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
420057
MO
2085R0204X
Vascular & Interventional Radiology Physician
04-20057
KS
2085R0204X
Vascular & Interventional Radiology Physician
19293
NE
2085R0204X
Vascular & Interventional Radiology Physician
R5A51
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052476
BC/BS PREMIER BLUE
KS
05
—
100129500C
—
KS
Enumeration date
06/30/2006
Last updated
08/08/2016
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