MARTY J OWEN

BLOOMFIELD, IA
NPI1316057722
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IA  D048500)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
-- MARTY J OWEN CRNA
505 W JEFFERSON ST
BLOOMFIELD, IA 52537-1515
Phone number: 641-664-3602
Mailing Address
-- MARTY J OWEN CRNA
PO BOX 54
BLOOMFIELD, IA 52537-0054
Phone number: 641-664-3602
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