Individual
RICHARD ALAN POWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(951) 795-5109
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207P00000X
Emergency Medicine Physician
Primary
LP05774
RI
Other
Enumeration date
06/14/2021
Last updated
06/20/2022
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