Brian Powderly MD PLLC
Family Medicine in Parkersburg, WV. Organization (NPI-2).
NPI number1073087482
StatusActive
Last updated in NPPESJan 18, 2019
Details
- NPI
- 1073087482
- Entity type
- Organization (NPI-2)
- Legal business name
- Brian Powderly MD PLLC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2019
- Last updated
- Jan 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
3211 Dudley AveParkersburg, WV 26104-1813
Phone 304-422-8112
Mailing address
3211 Dudley AveParkersburg, WV 26104-1813
Phone 304-422-8112
Authorized official
Brian Powderly
Owner/President
3044228112
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