Individual
MR. JEREMY TROY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 612-1143
Mailing address
755 SCOTT CIRCLE, HONOLULU, HI 96853
(808) 448-6176
(808) 448-6268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/04/2012
Last updated
04/08/2024
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