# DOUGLAS A POWELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356310387
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 3485 | OK | — |
| 2085R0202X | Diagnostic Radiology Physician | DO-05072 | IA | — |
| 2085R0202X | Diagnostic Radiology Physician | PT13068 | ND | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 0102206280 | VA | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 05072 | IA | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 3485 | OK | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | DO-05072 | IA | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | PT13068 | ND | — |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 03/24/2022