Individual
DOUGLASS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4820 W TAFT RD, SUITE 208, LIVERPOOL, NY 13088-2800
(315) 451-2261
(315) 451-3162
Mailing address
792 N MAIN ST, SUITE 100A, NORTH SYRACUSE, NY 13212-1644
(315) 423-9722
(315) 423-9687
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
140371
NY
Other
Enumeration date
11/02/2005
Last updated
03/18/2010
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