Provider Demographics
NPI:1003002148
Name:OWENS, JUSTIN MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:MICHAEL
Last Name:OWENS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:243 CURTISS RD
Mailing Address - Street 2:STE 100
Mailing Address - City:BARKSDALE AFB
Mailing Address - State:LA
Mailing Address - Zip Code:71110-2425
Mailing Address - Country:US
Mailing Address - Phone:318-456-4318
Mailing Address - Fax:318-456-8065
Practice Address - Street 1:243 CURTISS RD
Practice Address - Street 2:STE 100
Practice Address - City:BARKSDALE AFB
Practice Address - State:LA
Practice Address - Zip Code:71110-2425
Practice Address - Country:US
Practice Address - Phone:318-456-4318
Practice Address - Fax:318-456-8065
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2008-10-30
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Provider Licenses
StateLicense IDTaxonomies
ALMD.290912083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine