Individual
DR. JONATHAN DANIEL OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1140 EDWARDS VILLAGE BLVD., B-206, EDWARDS, CO 81632
(970) 926-8474
(970) 926-3634
Mailing address
PO BOX 544, EDWARDS, CO 81632
(970) 926-8474
(970) 926-3634
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2148
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23973081
—
CO
Enumeration date
05/31/2005
Last updated
05/21/2012
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