Individual provider · Type 1 NPI

Tara Louise Powers, PA-C

Surgical Physician Assistant · Sacramento, CA

NPI number 1700938032 Active

Practice location

1020 29th St, Suite 570B
Sacramento, CA 95816-5125

Fax (916) 733-8250

Mailing address

10470 Old Placerville Rd, Suite 100
Sacramento, CA 95827-2539

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XPA18452 (CA)
Pediatric Dermatology Physician 207NP0225XPA18452 (CA)
Procedural Dermatology Physician 207NS0135XPA18452 (CA)
Medical Physician Assistant 363AM0700XPA18452 (CA)
Surgical Physician Assistant Primary 363AS0400XPA18452 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1700938032

Tara Louise Powers, PA-C's National Provider Identifier is 1700938032, issued on Jan 17, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sacramento, CA. The record was last updated on Jul 27, 2015.