John David Poeverlein

NPI #1932722600 in Cody, Wyoming

Provider Information

NPI Number: 1932722600
Entity Type: Individual
Name: John David Poeverlein
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: May 28, 2020
Last Updated: May 28, 2020

Practice Location

Address: 2538 BIG HORN AVE
City: Cody
State: Wyoming
ZIP Code: 82414-9299
Phone: (307) 587-2197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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