Individual
DR. JOHN OWINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
018812
LA
2086S0127X
Trauma Surgery Physician
018812
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2351940
—
LA
01
—
337774YH54
MEDICARE - PTAN
LA
Enumeration date
12/05/2005
Last updated
04/25/2014
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