Individual
GREGORY D POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 W GORE BLVD STE 104, LAWTON, OK 73505-6350
(580) 250-6659
(580) 250-5249
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
39168
OK
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J3877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115799204
—
TX
Enumeration date
08/24/2005
Last updated
04/21/2026
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