IndividualActive
Gavin Powell, MD
NPI 1215933940 · Dermatology Physician · Nampa, ID
Provider details
- NPI number
- 1215933940
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M7519 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
318 2nd St S
Nampa, ID 83651-3765
Phone: (208) 467-3006
Fax: (208) 467-1155
Approximate (ZIP-level) locationGet directions
Mailing address
318 2nd St S
Nampa, ID 83651-3765
Registry dates
- Enumerated
- 2005-06-27
- Last updated
- 2007-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.