Edward James Powell, PA-C | |
171 W Central Ave, Coolidge, AZ 85228-4405 | |
(520) 723-7726 | |
(520) 723-4513 |
Full Name | Edward James Powell |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 171 W Central Ave, Coolidge, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588734750 | NPI | - | NPPES |
740052 | Medicaid | AZ | |
03D09444436 | Other | AZ | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 1252 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Edward James Powell, PA-C 171 W Central Ave, Coolidge, AZ 85228-4405 Ph: (520) 723-7726 | Edward James Powell, PA-C 171 W Central Ave, Coolidge, AZ 85228-4405 Ph: (520) 723-7726 |
Daniel Cruz Ramos, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1284 N Arizona Blvd, Coolidge, AZ 85128 Phone: 520-723-9131 | |
Rina Li, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1284 N Arizona Blvd, Coolidge, AZ 85128 Phone: 520-723-9131 |