Individual
DAVID J POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1401 E H ST, MC COOK, NE 69001-3589
(308) 344-4110
(308) 344-8369
Mailing address
1401 E H ST, PO BOX 1207, MC COOK, NE 69001-3589
(308) 344-4110
(308) 344-8369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
914
NE
Other
Enumeration date
09/22/2006
Last updated
11/19/2012
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