Provider Demographics
NPI:1154323483
Name:OWEN, WILLIAM FRANCIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:OWEN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:45 CASTRO ST
Mailing Address - Street 2:STE 402
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1027
Mailing Address - Country:US
Mailing Address - Phone:415-861-2400
Mailing Address - Fax:415-861-8733
Practice Address - Street 1:45 CASTRO ST
Practice Address - Street 2:STE 402
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1027
Practice Address - Country:US
Practice Address - Phone:415-861-2400
Practice Address - Fax:415-861-8733
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG31385207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G313850Medicaid
00G313850Medicare ID - Type Unspecified
CA00G313850Medicaid