Individual
GREGORY SAMPSON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 W STEWART DR STE 212, ORANGE, CA 92868-3837
(714) 543-8911
Mailing address
1310 W STEWART DR STE 212, ORANGE, CA 92868-3837
(714) 654-7642
(714) 543-8914
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A151368
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2016
Last updated
10/02/2020
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