NPI 1215933940

Gavin Ross Powell, MD

Practitioner Dermatology Physician Nampa, ID

Practice location

Address: 318 2nd St S, Nampa, ID 83651-3765
Phone: (208) 467-3006
Fax: (208) 467-1155

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M7519 (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1215933940
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2005
Record last updated: 15 Oct 2007

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.