Individual
ROGER WYATT OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3349 AMERICAN AVE, SUITE B, JEFFERSON CITY, MO 65109-1079
(573) 635-9655
(573) 635-6741
Mailing address
2716 CEDARWOOD CT, JEFFERSON CITY, MO 65109-9309
(573) 634-7194
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005470
MO
Other
Enumeration date
07/20/2005
Last updated
08/02/2011
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