Provider Demographics
NPI:1356642425
Name:OWENS, ROBERT BRYANT JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRYANT
Last Name:OWENS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8678 SPRING MOUNTAIN RD STE 130
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-4104
Mailing Address - Country:US
Mailing Address - Phone:702-384-0000
Mailing Address - Fax:702-221-4853
Practice Address - Street 1:8678 SPRING MOUNTAIN RD STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-4104
Practice Address - Country:US
Practice Address - Phone:702-384-0000
Practice Address - Fax:702-221-4853
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA 15843111NR0400X
NVBO1800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation