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Individual

BENJAMIN DAVID POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 WHITESPORT DR SW, HUNTSVILLE, AL 35801-6449
(256) 881-5353
(256) 881-0712
Mailing address
201 WHITESPORT DR SW, HUNTSVILLE, AL 35801-6449
(256) 881-5353
(256) 881-0712

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
49837
MN
207Y00000X
Otolaryngology Physician
Primary
MD.30920
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
537423100
MN
Enumeration date
03/28/2007
Last updated
10/13/2011
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