Individual
DR. DAVID R POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 W BROADWAY ST, MUSKOGEE, OK 74401-2136
(918) 687-5477
(918) 687-5481
Mailing address
3401 W BROADWAY ST, MUSKOGEE, OK 74401-2136
(918) 687-5477
(918) 681-1392
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15888
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100182690A
—
OK
05
—
100729650A
—
OK
Enumeration date
08/02/2006
Last updated
08/23/2016
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