Individual
MR. BRENNEN L. C. OWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 KAMOKILA BLVD, KAPOLEI, HI 96707
(808) 432-3600
Mailing address
401 KAMOKILA BLVD, KAPOLEI, HI 96707
(808) 432-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9096182-1204
UT
207Q00000X
Family Medicine Physician
Primary
DOS-1747
HI
Other
Enumeration date
04/05/2013
Last updated
07/09/2021
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