John Roger Powell JR. M.D.

NPI 1689905432 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1689905432
Gender Male
Enumeration Date 01/19/2010
Last Updated 01/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
10 GREENCROFT DR
CHAMPAIGN IL, 61821-5118, US
Phone (217) 359-3342
Fax
Business Location
10 GREENCROFT DR
CHAMPAIGN IL, 61821-5118, US
Phone (217) 359-3342
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Illinois
License Number 036036870
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According to our database, Dr. John Roger Powell JR. M.D. NPI is 1689905432, taxonomy code is 207V00000X and license number is 036036870, license state is located at Illinois. John Roger Powell JR. M.D. physically located at 10 Greencroft Dr, Champaign IL, 61821-5118. NPI Number John Roger Powell JR. M.D. has the Individual type.

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1689905432 NPI number is provided on an as is basis without warranty of any kind. 1689905432 is maintained by the National Plan & Provider Enumeration System. The contents of John Roger Powell JR. M.D. are for informational purposes only.