Individual
JOHN JACOB POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
292 SOUTH 1470 EAST, SUITE100, ST GEORGE, UT 84790-7000
(435) 628-9200
(435) 674-5763
Mailing address
292 SOUTH 1470 EAST, SUITE 100, ST GEORGE, UT 84790-7000
(435) 628-9200
(435) 674-5763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47473981206
UT
Other
Enumeration date
09/07/2005
Last updated
12/19/2013
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