Organization
SONORAN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J. POWELL PA-C (PA-C)
(520) 723-7726
Entity
Organization
Contact information
Practice address
171 W CENTRAL AVE, COOLIDGE, AZ 85228-4405
(520) 723-7726
(520) 723-4513
Mailing address
171 W CENTRAL AVE, COOLIDGE, AZ 85228-4405
(520) 723-7726
(520) 723-4513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1252
AZ
Other
Enumeration date
07/22/2008
Last updated
09/23/2008
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