Individual
DR. DAVID W POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4640 W LLOYD EXPY, EVANSVILLE, IN 47712-6517
(812) 422-4336
(812) 421-0994
Mailing address
4640 W LLOYD EXPY, EVANSVILLE, IN 47712-6517
(812) 422-4336
(812) 421-0994
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000467
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042550
ANTHEM PIN #
IN
05
—
200004080A
—
IN
Enumeration date
05/26/2005
Last updated
10/10/2007
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