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Contact Information

ROBERT POWELL
4100 HIGH RESORT BLVD
RIO RANCHO, NM87124-5784
 Phone: 505-291-2770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ROBERT POWELL · (Male)

NPI # 1043840283
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2020
Last updated 04/15/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 11476
Hospital affiliation(s)
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
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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