Individual
MR. GREG F POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4052 W PIONEER PKWY, STE 208, WEST VALLEY CITY, UT 84120
(801) 955-1232
(801) 912-0537
Mailing address
4052 W PIONEER PKWY STE 208, WEST VALLEY CITY, UT 84120
(801) 955-1232
(801) 912-0537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
276639-1206
UT
Other
Enumeration date
07/15/2005
Last updated
06/01/2018
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