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Individual

SUSAN JENNINGS OWENS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6345
(314) 744-4100
Mailing address
1450 FRYE RD, COLUMBIA, TN 38401-7208

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
TN

Other

Enumeration date
04/04/2006
Last updated
07/09/2007
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