Individual
DONALD D OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5959 PARK AVE, RADIOLOGY DEPARTMENT, MEMPHIS, TN 38119-5200
(901) 765-3212
(901) 765-1727
Mailing address
PO BOX 171206, MEMPHIS, TN 38187-1206
(901) 765-3212
(901) 765-1727
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD010364
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115912
—
MS
05
—
107407001
—
AR
05
—
202653903
—
MO
05
—
3037292
—
TN
Enumeration date
06/02/2006
Last updated
06/01/2011
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