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Individual
DR. JAMES EDSON POWELL
Active
Individual
DR. JAMES EDSON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2098
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139311
—
IA
01
—
080015869
RAILROAD MEDICARE
IA
01
—
13931
WELLMARK BC/BS
IA
05
—
5613130
—
SD
Enumeration date
09/26/2005
Last updated
09/26/2008
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