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Individual

DR. ROBERT EVAN OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2038 W 1900 S, SYRACUSE, UT 84075-9320
(801) 773-4840
(801) 926-1032
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6019843-1205
UT

Other

Enumeration date
04/13/2007
Last updated
10/25/2012
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