Individual
DR. DOROTHY J POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4467 OLD BRANCH AVE, SUITE 105, TEMPLE HILLS, MD 20748-1854
(301) 505-0500
(301) 505-0865
Mailing address
PO BOX 716, TEMPLE HILLS, MD 20757-0716
(301) 505-0500
(301) 505-0865
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
000983
MD
213ES0131X
Foot Surgery Podiatrist
PO453
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
428264
MEDICARE PTAN
MD
Enumeration date
10/09/2006
Last updated
04/08/2013
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