Organization
DR DOROTHY J POWELL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY J POWELL D.P.M. (OWNER)
(301) 505-0500
Entity
Organization
Contact information
Practice address
4467 OLD BRANCH AVE STE 105, TEMPLE HILLS, MD 20748-1854
(301) 505-0500
(301) 505-0865
Mailing address
PO BOX 716, TEMPLE HILLS, MD 20757-0716
(301) 505-0500
(240) 244-4106
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00983
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
428264
MEDICARE PTAN
MD
Enumeration date
04/08/2013
Last updated
04/08/2013
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