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Individual

GEORGE POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 243-2321
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 243-2321

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD7029
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
801743
UHA
HI
01
99017685996793B041
TRICARE CHAMPUS
HI
01
A77642
HMSA, 65CP, HMSA QUEST
HI
Enumeration date
07/28/2006
Last updated
04/10/2008
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