Individual
ROBERT POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 HIGH RESORT BLVD, RIO RANCHO, NM 87124-5784
(505) 291-2770
Mailing address
6200 MONTANO PLAZA DR NW APT 2322, ALBUQUERQUE, NM 87120-5784
(208) 360-2088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11476
AZ
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/16/2020
Last updated
04/15/2026
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