Individual
ERIC POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10777 SCIENCE CENTER DR, SAN DIEGO, CA 92121-1111
(858) 622-7572
Mailing address
100 SPORTFISHER DR UNIT 301, OCEANSIDE, CA 92054-1911
(317) 908-8807
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
01060833A
IN
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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