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Individual
DR. DONALD RUBERTINO POWELL
Active
Individual
DR. DONALD RUBERTINO POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3482
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD00135
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131663A
—
GA
05
—
003131663B
—
GA
05
—
003131663C
—
GA
01
—
202I487348
MEDICARE PTAN
GA
Enumeration date
02/01/2011
Last updated
12/03/2015
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