Individual
GREGORY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
500 HIGHWAY 89 NORTH, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
500 HIGHWAY 89 N, PRESCOTT, AZ 86313-5001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DR0071220
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/02/2019
Last updated
07/20/2024
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