Individual
DR. JOHN B POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 W TEMPLE AVE STE 2500, EFFINGHAM, IL 62401-2121
(217) 540-2350
(217) 347-2323
Mailing address
900 W TEMPLE AVE STE 2500, EFFINGHAM, IL 62401-2121
(217) 540-2350
(217) 347-2323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36509
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108839
HEALTHLINK
—
01
—
23266
BLUE CROSS BLUE SHIELD
MO
01
—
2819V3458
GHP/ADVANTRA
—
01
—
4061206
AETNA
—
01
—
43803
CMR
—
01
—
4441V6097
HEALTHCARE USA
—
01
—
900096
UHC
—
01
—
9045
EXCLUSIVE CHOICE
—
01
—
SP11098
CIGNA
—
Enumeration date
05/23/2005
Last updated
01/03/2022
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