Individual
DR. RONALD G POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 STANTON L YOUNG BLVD STE 1140, OKLAHOMA CITY, OK 73104
(405) 271-4351
Mailing address
PO BOX 26901, DEPT OF ANESTHESIOLOGY, OKLAHOMA CITY, OK 73126
(405) 271-4351
(405) 271-8695
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
15320
OK
207L00000X
Anesthesiology Physician
Primary
ME152928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050052959
RAILROAD MEDICARE
OK
05
—
100118810A
—
OK
01
—
400522442
MEDICARE RR
OK
01
—
4483804
AETNA
OK
Enumeration date
10/19/2005
Last updated
12/30/2021
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