Individual
ANDREW B POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
754 SOUTH MAIN, SUITE 3, ST GEORGE, UT 84770-5504
(435) 628-2671
(435) 634-1601
Mailing address
754 SOUTH MAIN, SUITE 3, ST GEORGE, UT 84770-5504
(435) 628-2671
(435) 634-1601
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0010
NV
213E00000X
Podiatrist
373663-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
0010
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
373663-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002188023
—
NV
Enumeration date
07/07/2005
Last updated
01/13/2014
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