Individual
DR. ALTON POWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 BERGQUIST DR, SUITE 1 (ATTN:CREDENTIALS (CMC)), LACKLAND A F B, TX 78236-9907
(210) 292-6707
Mailing address
2200 BERGQUIST DR, SUITE 1 (ATTN:CREDENTIALS (CMC)), LACKLAND A F B, TX 78236-9907
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
H3832
TX
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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