Individual
JACOB JOHN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1396 S LAKE CIR, ST GEORGE, UT 84790-7039
(972) 249-8577
Mailing address
1396 S LAKE CIR, ST GEORGE, UT 84790-7039
(972) 249-8577
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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