Madison Michelle Powelson

NPI #1326738055 in Provo, Utah

Provider Information

NPI Number: 1326738055
Entity Type: Individual
Name: Madison Michelle Powelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: May 8, 2023
Last Updated: Sep 10, 2024

Practice Location

Address: 395 W COUGAR BLVD STE 704
City: Provo
State: Utah
ZIP Code: 84604-3333
Phone: (801) 357-3242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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