Tara Powell, PA-C
NPI #1093103699 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1093103699
- Entity Type
- Individual
- Name
- Tara Powell, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jan 5, 2015
- Last Updated
- Jan 5, 2015
Practice Location
- Address
- 2730 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-5049
- Phone
- (208) 542-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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