Individual
MARK LOGAN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 BEVERLY RD STE 210, MC LEAN, VA 22101-3736
(703) 647-3130
Mailing address
202 TUDOR DR, WINCHESTER, VA 22603-4244
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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