Individual
BARRY W POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E 21ST ST, ANESTHESIA DEPT., SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Mailing address
800 E 21ST ST, PO BOX 5045, P.F.S., SIOUX FALLS, SD 57105-1016
(605) 322-6428
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-CRNA CR000669
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750588521
—
IA
05
—
46022474348
—
NE
01
—
46L66PO
MN BCBS
SD
01
—
4992935
BLUE CROSS OF SD
SD
05
—
5755450
—
SD
05
—
809402000
—
MN
01
—
9251735
DAKOTACARE
SD
01
—
CH3740
MEDICARE RAILROAD GROUP PTAN
—
01
—
P00618149
MEDICARE RAILROAD
—
Enumeration date
06/27/2007
Last updated
07/23/2010
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