| Doctor Name: | MISS SOOK YUN OWEN |
| NPI Number: | 1023348885 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | AP3521 |
| Business Practice Address: | 1648 Highway 95 Bullhead City, AZ - 864427906 |
| Business Phone Number: | 9287584114 |
| Business Fax Number: | 9287584650 |
| Mailing Address: | 2777 S Karla Dr, YUMA |
| State: | AZ |
| Postal Code: | 853653295 |
| Phone Number: | 9287882488 |
| Fax Number: | |
| NPI Enumeration Date: | 12/30/2009 |
| NPI Last Update Date: | 11/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP3521 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |