Individual
DR. POWELL O. JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 F STREET, #117, SACRAMENTO, CA 95819
(916) 733-1788
(916) 733-1787
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036122651
IL
207R00000X
Internal Medicine Physician
A101413
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A101413
CA
Other
Enumeration date
11/08/2007
Last updated
07/29/2015
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