Individual
HALEY ALEXA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
401 GRESHAM DR, NORFOLK, VA 23507
(757) 668-7850
Mailing address
401 GRESHAM DR, NORFOLK, VA 23507
(757) 668-7850
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
0102208668
VA
Other
Enumeration date
05/19/2020
Last updated
07/30/2024
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