Individual
DR. JAMES VINCENT OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5303
Mailing address
2714 HARMONY DR, BETTENDORF, IA 52722-3106
(563) 359-8108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05301
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10412
BLUE CROSS BLUE SHIELD
IA
Enumeration date
08/03/2005
Last updated
05/17/2012
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