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Individual

AMANDA POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1 LEMOYNE SQ, SUITE 201, LEMOYNE, PA 17043-1230
(717) 737-4511
(717) 909-6659
Mailing address
1 LEMOYNE SQ, SUITE 201, LEMOYNE, PA 17043-1230
(717) 737-4511
(717) 909-6659

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS015875
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2696822
HIGHMARK BLUE SHIELD
PA
01
50108666
CAPITAL BLUE CROSS
PA
01
9476869
AETNA
PA
Enumeration date
08/12/2008
Last updated
04/22/2015
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