| Brian Powderly Md Pllc | |
|
3211 Dudley Ave Parkersburg WV 26104-1813 | |
| (304) 422-8112 | |
| Not Available |
| Full Name | Brian Powderly Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3211 Dudley Ave, Parkersburg, West Virginia |
| Authorized Official Name and Position | Brian Powderly (OWNER/PRESIDENT) |
| Authorized Official Contact | 3044228112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Powderly Md Pllc 3211 Dudley Ave Parkersburg WV 26104-1813 Ph: (304) 422-8112 | Brian Powderly Md Pllc 3211 Dudley Ave Parkersburg WV 26104-1813 Ph: (304) 422-8112 |
| NPI Number | 1073087482 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 01/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073087482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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