NPI 1003804006

David Joseph Powers, MD

Practitioner Surgery Physician Dixon, IL

Practice location

Address: 215 E 1st St STE 315, Dixon, IL 61021-3190
Phone: (815) 288-1035
Fax: (815) 284-0584
Mailing address: 102 S Hennepin Avenue Ksb Medical Group/Town Square Center, Dixon, IL 61021-0000

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 036082587 (IL)

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Registry record

NPI: 1003804006
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2005
Record last updated: 23 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.