Individual
JEFFREY J OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
428 S GILBERT RD STE 115, GILBERT, AZ 85296-2262
(480) 507-2961
(480) 507-2971
Mailing address
PO BOX 1847, GILBERT, AZ 85299-1847
(480) 507-2961
(480) 507-2971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
15506
FL
207L00000X
Anesthesiology Physician
Primary
47353
AZ
390200000X
Student in an Organized Health Care Education/Training Program
R71745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818609
—
AZ
Enumeration date
07/13/2009
Last updated
06/30/2015
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