GAVIN ROSS POWELL

NAMPA, ID
NPI1215933940
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: ID  M7519)
Enumeration Date2005-06-27
Last Update Date2007-10-15
Business Address
DR. GAVIN ROSS POWELL MD
318 2ND ST S
NAMPA, ID 83651-3765
Phone number: 208-467-3006
Mailing Address
DR. GAVIN ROSS POWELL MD
318 2ND ST S
NAMPA, ID 83651-3765
Phone number: 208-467-3006
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