Individual
TIFFANY JULIETTE AVILA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2675 HARRIS ST, EUREKA, CA 95503-4806
(707) 268-0190
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(469) 893-2587
(469) 893-7810
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101249185
VA
207T00000X
Neurological Surgery Physician
Primary
A138522
CA
207T00000X
Neurological Surgery Physician
MD041720
DC
Other
Enumeration date
05/17/2007
Last updated
09/22/2025
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