Provider Demographics
NPI:1164411617
Name:OWENS, JOHN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DAVID
Last Name:OWENS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1803 MT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3051
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-5001
Practice Address - Fax:717-851-5114
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2007-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD015962E207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1140827OtherAMERIHEALTH MERCY
PA50067277OtherCAPITAL BLUE CROSS
PA55126OtherGEISINGER
PA0069078000OtherAMERIHEALTH 65PA
PA25523OtherBLUE SHIELD OF PA
PA1537594OtherGATEWAY
PA0069078000OtherAMERIHEALTH 65PA
PA1537594OtherGATEWAY