Individual
JEROLD L POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10752 N 89TH PL, B-121, SCOTTSDALE, AZ 85260-6730
(480) 661-0030
(480) 661-9601
Mailing address
10752 N 89TH PL, B-121, SCOTTSDALE, AZ 85260-6730
(480) 661-0030
(480) 661-9601
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11237
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0027610
BLUE CROSS ID
AZ
Enumeration date
03/29/2006
Last updated
12/08/2011
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