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Individual

DR. GLENN I POWERS

Active
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Individual

DR. GLENN I POWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G74509
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0080384
DEPT OF LABOR & INDUSTRIE
WA
01
0231778
L&I
WA
05
1077148
WA
05
1881684926
WA
01
PO3646
REGENCE BLUE SHIELD
WA
Enumeration date
10/27/2005
Last updated
12/02/2025
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