TARA POWELL

IDAHO FALLS, ID
NPI1093103699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-1198)
Enumeration Date2015-01-05
Last Update Date2015-01-05
Business Address
-- TARA POWELL PA-C
2730 CHANNING WAY
IDAHO FALLS, ID 83404-5049
Phone number: 208-542-7100
Mailing Address
-- TARA POWELL PA-C
2730 CHANNING WAY
IDAHO FALLS, ID 83404-5049
Phone number: 208-542-7100
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