Organization
DAVID DOWELL DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DOWELL DPM (OWNER)
(417) 659-9395
Entity
Organization
Contact information
Practice address
1501 E 20TH ST, JOPLIN, MO 64804-0928
(417) 659-9395
(417) 659-9695
Mailing address
1501 E 20TH ST, JOPLIN, MO 64804-0928
(417) 659-9395
(417) 659-9695
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000709
MO
332BC3200X
Customized Equipment (DME)
000709
MO
335E00000X
Prosthetic/Orthotic Supplier
000709
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626137004
—
MO
Enumeration date
08/29/2007
Last updated
08/09/2012
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