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Individual

IAN ANGUS POWELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2335 STOCKTON BLVD FL 6, SACRAMENTO, CA 95817-2201
(916) 734-7289
Mailing address
2335 STOCKTON BLVD FL 6, SACRAMENTO, CA 95817-2201
(916) 734-7289

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A170626
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
A170626
CA
208600000X
Surgery Physician
D89169
MD
2086S0102X
Surgical Critical Care Physician
A170626
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2014
Last updated
10/06/2022
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