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Contact Information

JEFFREY C POWELL, MD
US HWY 491 NORTH
SHIPROCK, NM87420
 Phone: 505-368-6401
 Fax: 505-368-6431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY C POWELL · (Male)

NPI Number 1194700674
Status Active
Credentials MD
Entity Individual
Enumeration date 12/07/2005
Last updated 01/04/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00040293
  • AZ Medicaid 714635
  • CO Medicaid 83872540
  • NM Medicaid 31326021
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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