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Individual

DR. STEPHEN W POWELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7001 FOREST AVE, SUITE 200, RICHMOND, VA 23230-1726
(804) 288-3123
(804) 288-6591
Mailing address
7001 FOREST AVE, SUITE 200, RICHMOND, VA 23230-1726
(804) 288-3123
(804) 288-6591

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101032091
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006023649
VA
01
060020414
RAILROAD MEDICARE
VA
01
0689605
CIGNA
VA
01
517396
UNITED HEALTHCARE
VA
01
530915
AETNA
VA
01
C06695
GROUP PTAN
VA
Enumeration date
07/08/2006
Last updated
01/20/2012
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