Individual
EDWARD D POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
380 W CHESTNUT ST STE 101, WASHINGTON, PA 15301-4658
(724) 228-1414
(724) 228-8579
Mailing address
380 W CHESTNUT ST STE 101, WASHINGTON, PA 15301-4658
(724) 228-1414
(724) 228-8579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA000702L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103191740
—
PA
Enumeration date
11/18/2005
Last updated
06/13/2017
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