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Individual

DR. HENRY C POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DSC, FRCPATH

Contact information

Practice address
200 WEST ARBOR DRIVE, MC 8320, UCSD DEPARMENT OF PATHOLOGY, SAN DIEGO, CA 92103
(619) 543-5966
(619) 543-3730
Mailing address
200 WEST ARBOR DRIVE, MC 8320, UCSD DEPARMENT OF PATHOLOGY, SAN DIEGO, CA 92103
(619) 543-5966
(619) 543-3730

Taxonomy

Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
A25597
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A255970
CA
Enumeration date
06/14/2006
Last updated
02/07/2008
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