All Medicaid billing entities listing POWELL, GAVIN (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $60K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DERMATOLOGY CENTER OF CANYON COUNTY | NAMPA, ID | Dermatology Physician | $60K |