David R Powell MD Pllc

NPI #1093975757 in Muskogee, Oklahoma

Provider Information

NPI Number: 1093975757
Entity Type: Organization
Organization Name: David R Powell MD Pllc
Primary Specialty: Specialist
Enumeration Date: Jun 16, 2008
Last Updated: Jun 16, 2008

Practice Location

Address: 3401 W BROADWAY ST
City: Muskogee
State: Oklahoma
ZIP Code: 74401-2136
Phone: (918) 687-5477

Authorized Official

Name: DR. DAVID R POWELL, MD
Title: OWNER
Phone: (918) 687-5477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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