Provider Demographics
NPI:1255454732
Name:POWELL, DARIN K (DO)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:K
Last Name:POWELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1646 ELDRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-7817
Mailing Address - Country:US
Mailing Address - Phone:208-734-7362
Mailing Address - Fax:208-733-9463
Practice Address - Street 1:1646 ELDRIDGE AVE
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-7817
Practice Address - Country:US
Practice Address - Phone:208-734-7362
Practice Address - Fax:208-733-9463
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDO-0435207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology