Charles C Powell MD

NPI 1003887936 - Family Medicine - 207Q00000X

NPI Details
NPI 1003887936
Gender Male
Enumeration Date 01/30/2006
Last Updated 03/31/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1441 E 75TH PL
TULSA OK, 74136-7345, US
Phone (918) 710-4200
Fax (918) 293-3155
Business Location
1441 E 75TH PL
TULSA OK, 74136-7345, US
Phone (918) 710-4200
Fax (918) 293-3155
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 23749
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According to our database, Charles C Powell MD NPI is 1003887936, taxonomy code is 207Q00000X and license number is 23749, license state is located at Oklahoma. Charles C Powell MD physically located at 1441 E 75th Pl, Tulsa OK, 74136-7345. NPI Number Charles C Powell MD has the Individual type.

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1003887936 NPI number is provided on an as is basis without warranty of any kind. 1003887936 is maintained by the National Plan & Provider Enumeration System. The contents of Charles C Powell MD are for informational purposes only.