Individual
MR. ANDREW ALEXANDER POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 OWENSVILLE RD, WEST RIVER, MD 20778-9702
(410) 867-4700
Mailing address
134 OWENSVILLE RD, WEST RIVER, MD 20778-9702
(410) 867-4700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009031
VA
363AM0700X
Medical Physician Assistant
C0009031
MD
Other
Enumeration date
09/29/2022
Last updated
08/13/2024
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