# BRIAN D POWELL MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902579071
- **Authorized official:** ANNETTE SIMMONS (ADMINISTRATOR)
- **Authorized official phone:** (801) 295-7200

## Contact information

- **Practice address:** 1551 RENAISSANCE TOWNE DR STE 400, BOUNTIFUL, UT 84010-7676
- **Practice address phone:** (801) 295-7200
- **Practice address fax:** (801) 295-4930
- **Mailing address:** 1551 RENAISSANCE TOWNE DR STE 400, BOUNTIFUL, UT 84010-7676
- **Mailing address phone:** (801) 295-7200
- **Mailing address fax:** (801) 295-4930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2021
- **Last updated:** 07/26/2021