Individual
BENJAMIN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4700 LAS VEGAS BLVD NORTH NELLIS AFB, LAS VEGAS, NV 89191-6601
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
1285484337
NV
207Q00000X
Family Medicine Physician
1285484337
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5101028936
MI
Other
Enumeration date
03/22/2024
Last updated
03/15/2026
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