person
Tara Powell, PA-C
Medical Physician Assistant in Idaho Falls, Idaho
NPI 1093103699

Tara Powell is a Medical Physician Assistant based in Idaho Falls, ID and is specialized in Medical. Tara Powell practices in Idaho Falls, ID and has the professional credentials of PA-C. The NPI Number for Tara Powell is 1093103699 and holds a License No. PA-1198 (Idaho).

The current practice location address for Tara Powell is 2730 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-542-7100 and via fax at 208-542-7150.

Location: 2730 Channing Way, Idaho Falls, ID, 83404-5049
person
Provider Profile Details
NPI Number
1093103699
Provider Name
Tara Powell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2730 Channing Way, Idaho Falls, ID, 83404-5049
Phone Number
208-542-7100
Fax Number
208-542-7150
Provider Enumeration Date
01/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2730 Channing Way
City
State
Zip
83404-5049
Phone Number
208-542-7100
Fax Number
208-542-7150
person
Provider Business Mailing Address Details
Address
2730 Channing Way
City
State
Zip
83404-5049
Phone Number
208-542-7100
Fax Number
208-542-7150
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-1198 (Idaho)
Definition
Definition to come...
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