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NPI Code Detail

MEDICARE: DR. STEPHEN GEORGE POWELL M.D.

MEDICARE:  DR. STEPHEN GEORGE POWELL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician4221MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114927472
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN GEORGE POWELL M.D.
Provider Business Mailing Address
First Line : 2831 FORT MISSOULA RD
Second Line : SUITE 232
City : MISSOULA
State : MT
Zip : 59804-7419
Country : US
Telephone Number : 406-728-6101
Fax Number : 406-721-3278
Provider Business Practice Location Address
First Line : 2831 FORT MISSOULA RD
Second Line : SUITE 232
City : MISSOULA
State : MT
Zip : 59804-7419
Country : US
Telephone Number : 406-728-6101
Fax Number : 406-721-3278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 04/08/2010

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Directions to “ DR. STEPHEN GEORGE POWELL M.D.” Practice Location

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