Individual
ROBERT POWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
672 N 200 W, APT 4, SALT LAKE CITY, UT 84103-1818
(801) 694-6946
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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