Individual
JACK LOREN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 NW EXPWY, OKLAHOMA CITY, OK 73112-4418
(316) 293-2699
Mailing address
3300 NW EXPWY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3284
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
45787
OK
Other
Enumeration date
01/20/2021
Last updated
07/08/2025
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