NPI 1194700674

Jeffrey C Powell, MD

Practitioner Pediatrics Physician Shiprock, NM

Practice location

Address: US Hwy 491 North, Shiprock, NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Mailing address: PO Box 160, Shiprock, NM 87420-0160

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD00040293 (WA)

Other Pediatrics providers in New Mexico →

Registry record

NPI: 1194700674
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2005
Record last updated: 4 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.