Carson Powell, MD

NPI #1629773460 in Maywood, Illinois

Provider Information

NPI Number
1629773460
Entity Type
Individual
Name
Carson Powell, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Surgery
Credential
MD
Enumeration Date
Apr 3, 2023
Last Updated
Jun 16, 2023

Practice Location

Address
2160 S 1ST AVE # 60153
ZIP Code
60153-3328
Phone
(788) 488-8584

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Surgery

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