MISS Cheyenne Olivia Powers, PA-C
NPI #1033605845 in Bloomington, Indiana
Provider Information
- NPI Number
- 1033605845
- Entity Type
- Individual
- Name
- MISS Cheyenne Olivia Powers, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jul 3, 2018
- Last Updated
- Jul 3, 2018
Practice Location
- Address
- 813 W 2ND ST
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-2212
- Phone
- (812) 330-0303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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