Individual
PATRICK DAVID POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
Mailing address
3923 MEADOW WAY TRL, GRAND ISLAND, NE 68803-1558
(308) 382-0604
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
614
NE
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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