Individual
GREGORY DAVID POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
318 BRAEBURN GLEN DR, MINDEN, LA 71055-5798
(318) 245-1725
Mailing address
318 BRAEBURN GLEN DR, MINDEN, LA 71055-5798
(318) 245-1725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083219
LA
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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