Individual
HAYDN BURK POWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 W HIGHWAY 32, SUITE B, SALEM, MO 65560-2576
(573) 729-3542
Mailing address
803 HWY 32 WEST, SUITE B, SALEM, MO 65560
(573) 729-3542
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003881
MO
Other
Enumeration date
05/16/2007
Last updated
08/19/2014
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