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1982682647
THEOPHILUS E OWAN
SALT LAKE CITY, UT
NPI
1982682647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0011X Internal Medicine, Interventional Cardiology
(Licence: UT 6543761-1205)
Enumeration Date
2006-01-04
Last Update Date
2012-09-26
Business Address
-- THEOPHILUS E OWAN M.D.
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-5400
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Mailing Address
-- THEOPHILUS E OWAN M.D.
PO BOX 413033
SALT LAKE CITY, UT 84141-3033
Phone number: 801-213-3900
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