Provider Demographics
NPI:1861094393
Name:POWELL, ARTHUR FREDERICK (NMD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:FREDERICK
Last Name:POWELL
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 N ABNER
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-4330
Mailing Address - Country:US
Mailing Address - Phone:719-231-3981
Mailing Address - Fax:
Practice Address - Street 1:1955 N VAL VISTA DR STE 103
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-3218
Practice Address - Country:US
Practice Address - Phone:480-306-8111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20-1920175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath