Individual
THOMAS R POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 W LA VETA AVE STE 106, ORANGE, CA 92868-4223
(714) 245-0492
(714) 245-0494
Mailing address
1140 W LA VETA AVE STE 106, ORANGE, CA 92868-4223
(714) 245-0492
(714) 245-0794
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G25187
CA
Other
Enumeration date
04/28/2006
Last updated
01/20/2010
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