Individual
MR. GREGG OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADIOLOGIC TECHNOLOG
Contact information
Practice address
VA HOSPITAL LOMA LINDA 11201 BENTON ST, LOMA LINDA, CA 92357-0001
(909) 825-7084
Mailing address
11284 BELLAIRE ST APT 9, LOMA LINDA, CA 92354-3000
(909) 800-6356
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
45043
CA
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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