Individual
ROBERT POWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(267) 322-7700
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN578783
PA
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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