Individual
TIMOTHY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 J CLYDE MORRIS BLVD STE 500, NEWPORT NEWS, VA 23601-1929
(757) 873-1374
(757) 873-1612
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101241847
VA
208800000X
Urology Physician
125-043865
IL
Other
Enumeration date
05/01/2007
Last updated
06/17/2020
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