Provider Demographics
NPI:1952480634
Name:OWENS, RUTH MARIANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:MARIANNE
Last Name:OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 VETERANS MEMORIAL BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5634
Mailing Address - Country:US
Mailing Address - Phone:504-455-1000
Mailing Address - Fax:504-455-1555
Practice Address - Street 1:3900 VETERANS MEMORIAL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5634
Practice Address - Country:US
Practice Address - Phone:504-455-1000
Practice Address - Fax:504-455-1555
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09634R207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAE36853Medicare UPIN