Most Relevant Information
Provider Data
| NPI Number: | 1003002148 |
| Provider Name: | JUSTIN MICHAEL OWENS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2083A0100X |
| Specialty: | Preventive Medicine |
| License Number: | MD.29091 |
Most Important Dates
| Enumeration Date: | 09/21/2007 |
| Last Updated: | 10/30/2008 |
Provider Practice Location
243 CURTISS RD
STE 100
BARKSDALE AFB
LA
711102425
Practice Location Phone/Fax
| Phone: | 3184564318 |
| Fax: | 3184568065 |
Provider Mailing Location
243 CURTISS RD
STE 100
BARKSDALE AFB
LA
711102425
Provider Mailing Phone/Fax
| Phone: | 3184564318 |
| Fax: | 3184568065 |