TARA POWELL

HEALTH AND WELLNESS CENTER OF IDAHO, PLLC

Dr TARA POWELL is a female medical professional, specializing in Physician Assistant. She graduated in 2014.

Contact

HEALTH AND WELLNESS CENTER OF IDAHO, PLLC

2001 S WOODRUFF AVE
SUITE 5
IDAHO FALLS
ID
834046371

Tel: 2085288777

TARA POWELL Information

Npi 1093103699
Pac Id 8921327511
Professional Enrollment Id I20150504000243
Last Name POWELL
First Name TARA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HEALTH AND WELLNESS CENTER OF IDAHO, PLLC
Group Practice Pac Id 0143203844
Number Of Group Practice Members 2
Line 1 Street Address 2001 S WOODRUFF AVE
Line 2 Street Address SUITE 5
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834046371
Phone Number 2085288777
Hospital Affiliation Ccn 1 130065
Hospital Affiliation Lbn 1 MOUNTAIN VIEW HOSPITAL
Hospital Affiliation Ccn 2 130018
Hospital Affiliation Lbn 2 EASTERN IDAHO REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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