Individual
MALCOLM CHRISTOPHER OWENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1275 SOUTH STATE STREET, DOVER AFB, DE 19901
(302) 678-1303
Mailing address
22 MAGNOLIA MEADOWS PKWY, MAGNOLIA, DE 19962-9347
(302) 335-1551
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C5-0000519
DE
363AM0700X
Medical Physician Assistant
Primary
1041602
—
Other
Enumeration date
12/23/2005
Last updated
12/31/2008
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