Individual
MR. JEFFERY SCOTT OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
525 WESTERN AVENUE STE 201, CONWAY, AR 72034-4980
(501) 327-6665
(501) 730-0289
Mailing address
9521 SULPHUR SPRINGS RD, PINE BLUFF, AR 71603-0900
(870) 692-0357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R78203
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C02916
AR
Other
Enumeration date
05/04/2012
Last updated
06/01/2012
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