Individual
DR. BERNARD JAMES OWENS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12301 SNOW RD, PARMA, OH 44130-1002
(216) 621-5600
(216) 479-5554
Mailing address
1001 LAKESIDE AVE E, #1200, CLEVELAND, OH 44114-1158
(216) 479-5541
(216) 479-5554
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35-074180
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2139671
—
OH
Enumeration date
08/30/2006
Last updated
07/08/2007
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