Individual
DR. POWELL PERNG
Active
Individual
DR. POWELL PERNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
12192581-1205
UT
207N00000X
Dermatology Physician
Primary
DR.0067923
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000159221
—
CO
Enumeration date
02/09/2015
Last updated
09/10/2025
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