Individual
JEFF POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3561 E TUDOR RD STE 8, ANCHORAGE, AK 99507-1200
(907) 770-7747
Mailing address
3561 E TUDOR RD STE 8, ANCHORAGE, AK 99507-1200
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
195
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP1195
—
AK
Enumeration date
01/04/2007
Last updated
07/09/2007
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