Individual
DAVID M POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 COLISEUM DR, SUITE 104, HAMPTON, VA 23666-5963
(757) 827-9400
(757) 827-9320
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 213-5700
(757) 213-5701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101051961
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53131
OPTIMA
VA
Enumeration date
06/22/2005
Last updated
12/12/2007
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