John Robert Powell
Individual provider Active NPI Independent Duty Medical Technicians · Malmstrom Afb, MT
NPI 1154939643 · NPPES record last updated Jul 21, 2020
Key facts
- NPI
- 1154939643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 7300 N Perimeter Rd BLDG 2040
Malmstrom Afb, MT 59402-6701 - Phone
- (406) 731-4633
- NPI assigned
- Jul 21, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
7300 N Perimeter Rd BLDG 2040
Malmstrom Afb, MT 59402-6701
Mailing address
6404 Magnolia Dr
Great Falls, MT 59405-6807
Phone (402) 212-0769
Other providers in Malmstrom Afb, MT
- Alexander Ortiz
- Mercy Jean Padgett
- Dallin Page
- Terry Ken Pennington
- Trevor Allan Peterson
- Marisa Sue Ridley
- Misty Dawn Robertson
- Michael Rohan
- Fernando Santana
- Ryan Seymour
All providers in Malmstrom Afb, MT · Independent Duty Medical Technicians in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.