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Organization

POWELL PEDIATRIC CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEB HOWELL (OFFICE MANAGER)
(614) 888-8989
Entity
Organization

Contact information

Practice address
55 CLAIREDAN DR., POWELL, OH 43065
(614) 888-8989
(614) 888-8968
Mailing address
55 CLAIREDAN DR., POWELL, OH 43065
(614) 888-8989
(614) 888-8968

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35055409H
OH
208000000X
Pediatrics Physician
350814830
OH
208000000X
Pediatrics Physician
350830708
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2612202
OH
Enumeration date
11/22/2006
Last updated
10/03/2013
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