NPI 1154939643

John Robert Powell

Practitioner Independent Duty Medical Technicians Malmstrom Afb, MT

Practice location

Address: 7300 N Perimeter Rd Bldg 2040, Malmstrom Afb, MT 59402-6701
Phone: (406) 731-4633
Mailing address: 6404 Magnolia Dr, Great Falls, MT 59405-6807

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1154939643
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2020
Record last updated: 21 Jul 2020

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.