Individual provider · Type 1 NPI

Tara Powell, PA-C

Medical Physician Assistant · Idaho Falls, ID

NPI number 1093103699 Active

Practice location

2730 Channing Way
Idaho Falls, ID 83404-5049

Fax (208) 542-7150

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-1198 (ID)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1093103699

Tara Powell, PA-C's National Provider Identifier is 1093103699, issued on Jan 5, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 5, 2015.