Individual
DR. DANIEL RUSSELL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
338 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 247-7192
(614) 247-6626
Mailing address
338 W 10TH AVE, COLUMBUS, OH 43210-1280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3255
WA
152W00000X
Optometrist
Primary
5739
OH
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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