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Individual

DR. DAVID DEREK POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2740 W MARKET ST, LIMA, OH 45805
(419) 221-2273
(419) 227-3737
Mailing address
2740 W MARKET ST, LIMA, OH 45805
(419) 221-2273
(419) 227-3737

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
34006220P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0179542
OH
Enumeration date
09/06/2005
Last updated
09/10/2012
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