Individual
DR. JAMES EDSON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 N PRAIRIE ST, FLANDREAU, SD 57028-1243
(605) 997-2471
(605) 997-2418
Mailing address
212 N PRAIRIE ST, FLANDREAU, SD 57028-1243
(605) 997-2471
(605) 997-2418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2098
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139311
—
IA
01
—
080015869
RAILROAD MEDICARE
IA
01
—
13931
WELLMARK BC/BS
IA
05
—
5613130
—
SD
Enumeration date
09/26/2005
Last updated
09/26/2008
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