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Individual

CHARLESTON ROBERT POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4494 PALMER RD N, BETHESDA, MD 20814
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2462
(253) 968-2972

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101268759
VA
208D00000X
General Practice Physician
0101268759
VA

Other

Enumeration date
02/26/2018
Last updated
08/23/2023
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