Individual
MR. BRET R OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2825 PARKLAWN DR, MIDWEST CITY, OK 73110-4201
(405) 610-4411
Mailing address
16620 COBBLESTONE CIR, CHOCTAW, OK 73020-6953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA819
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113210A
—
OK
Enumeration date
05/05/2006
Last updated
03/16/2015
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