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Individual

DR. RICHARD ANTHONY MICHAEL POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APH,NMD,CAC,PHD

Contact information

Practice address
676 SHOUP AVE W STE 14, TWIN FALLS, ID 83301-4615
(208) 392-1829
(888) 915-0796
Mailing address
676 SHOUP AVE W STE 14, TWIN FALLS, ID 83301-4615
(208) 392-1829
(888) 915-0796

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
103G00000X
Clinical Neuropsychologist
133NN1002X
Nutrition Education Nutritionist
171100000X
Acupuncturist
Primary
ACC195
ID

Other

Enumeration date
03/30/2007
Last updated
08/23/2022
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