Brian Powderly MD
Family Medicine in Parkersburg, WV. Organization (NPI-2).
NPI number1891833570
StatusActive
Last updated in NPPESNov 1, 2016
Details
- NPI
- 1891833570
- Entity type
- Organization (NPI-2)
- Legal business name
- Brian Powderly MD
- Organization subpart
- No
- Enumeration date
- Feb 2, 2007
- Last updated
- Nov 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
2675 36th StParkersburg, WV 26104-8024
Phone 304-422-8112 · Fax 304-422-3924
Mailing address
301 Saint Andrews BlvdBelpre, OH 45714-9327
Phone 304-422-8112 · Fax 304-422-3924
Authorized official
Brian Powderly
Owner
3044228112
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