DR. Theo Herbert Powell, M.D.

NPI #1164427951 in Grants Pass, Oregon

Provider Information

NPI Number: 1164427951
Entity Type: Individual
Name: DR. Theo Herbert Powell, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Jun 17, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 495 SW RAMSEY AVE
City: Grants Pass
State: Oregon
ZIP Code: 97527
Phone: (541) 476-6644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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