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Individual

ERIN R POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2900
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
49936
TN
2080P0203X
Pediatric Critical Care Medicine Physician
131589
OH
2080P0203X
Pediatric Critical Care Medicine Physician
50452
KY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
M-16355
ID

Other

Enumeration date
04/13/2010
Last updated
04/19/2022
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