Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-335 | CA |
NPI | 1154562668 |
---|---|
Provider Name | Dr. David Christopher Powell |
First Address | San Diego, CA 92110-4504 |
Second Address | San Diego, CA 92110-4504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2009 |
Last Update Date | 10/10/2014 |