Most Relevant Information
Provider Data
| NPI Number: | 1003835349 |
| Provider Name: | ALTON POWELL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2083A0100X |
| Specialty: | Preventive Medicine |
| License Number: | H3832 |
Most Important Dates
| Enumeration Date: | 07/18/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2200 BERGQUIST DR
SUITE 1 (ATTN:CREDENTIALS (CMC))
LACKLAND A F B
TX
782369907
Practice Location Phone/Fax
| Phone: | 2102926707 |
| Fax: |
Provider Mailing Location
2200 BERGQUIST DR
SUITE 1 (ATTN:CREDENTIALS (CMC))
LACKLAND A F B
TX
782369907
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |