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Individual

THOMAS POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-3200
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
35.143551
OH
207P00000X
Emergency Medicine Physician
Primary
MD2022-0988
NM
2083A0100X
Aerospace Medicine Physician
35.143551
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/28/2019
Last updated
10/09/2024
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