Individual
DR. THOMAS SHELTON POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18821 DELAWARE ST, #205, HUNTINGTON BEACH, CA 92648-1926
(714) 903-4570
(714) 903-4571
Mailing address
412 OLIVE AVE # 489, HUNTINGTON BEACH, CA 92648-5142
(714) 903-4570
(714) 903-4571
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
G15640
CA
208VP0000X
Pain Medicine Physician
Primary
G15640
CA
Other
Enumeration date
07/15/2010
Last updated
10/08/2013
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