Individual
VIRGINIA SAVASTANO OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6019 WALNUT GROVE, MEMPHIS, TN 38120
(901) 383-8860
(901) 383-1194
Mailing address
PO BOX 2121, MEMPHIS, TN 38159
(901) 383-8860
(901) 383-8985
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24396
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115928
—
MS
05
—
126354001
—
AR
05
—
207696907
—
MO
01
—
3057439
BCBS
TN
05
—
3087132
—
TN
01
—
96991
BCBS
AR
Enumeration date
08/19/2006
Last updated
11/25/2024
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