DR. Shane K Powell, MD

NPI #1750342655 in Roosevelt, Utah

Provider Information

NPI Number: 1750342655
Entity Type: Individual
Name: DR. Shane K Powell, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Mar 30, 2006
Last Updated: Jun 20, 2017

Practice Location

Address: 210 W 300 N 75-3
City: Roosevelt
State: Utah
ZIP Code: 84066
Phone: (435) 722-3971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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