Jonathon David Powell
NPI #1346785136 in Springfield Gardens, New York
Provider Information
- NPI Number
- 1346785136
- Entity Type
- Individual
- Name
- Jonathon David Powell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Jan 3, 2017
- Last Updated
- Jan 3, 2017
Practice Location
- Address
- 18524 140TH AVE
- State
- New York
- ZIP Code
- 11413-2614
- Phone
- (860) 694-2876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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