Individual
JOHN ROBERT POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 N PERIMETER RD BLDG 2040, MALMSTROM AFB, MT 59402-6701
(406) 731-4633
Mailing address
6404 MAGNOLIA DR, GREAT FALLS, MT 59405-6807
(402) 212-0769
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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