DR. Gavin Ross Powell, MD

NPI #1215933940 in Nampa, Idaho

Provider Information

NPI Number: 1215933940
Entity Type: Individual
Name: DR. Gavin Ross Powell, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Jun 27, 2005
Last Updated: Oct 15, 2007

Practice Location

Address: 318 2ND ST S
City: Nampa
State: Idaho
ZIP Code: 83651-3765
Phone: (208) 467-3006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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