Most Relevant Information
Provider Data
| NPI Number: | 1003804006 |
| Provider Name: | DAVID JOSEPH POWERS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | 036082587 |
Most Important Dates
| Enumeration Date: | 10/12/2005 |
| Last Updated: | 08/23/2018 |
Provider Practice Location
215 E 1ST ST STE 315
DIXON
IL
610213190
Practice Location Phone/Fax
| Phone: | 8152881035 |
| Fax: | 8152840584 |
Provider Mailing Location
102 S HENNEPIN AVENUE
KSB MEDICAL GROUP/TOWN SQUARE CENTER
DIXON
IL
610210000
Provider Mailing Phone/Fax
| Phone: | 8152881035 |
| Fax: | 8152840584 |
Suggested EMR
Surgeon EMR