Robert Todd Powell, IDC
NPI #1922061142 in Jacksonville, Florida
Provider Information
- NPI Number
- 1922061142
- Entity Type
- Individual
- Name
- Robert Todd Powell, IDC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 14090 CRESTWICK DR E
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32218-8432
- Phone
- (904) 751-7463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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