| William R Powers M.d. Inc. | |
|
195 E Broad St Lyons IN 47443-9502 | |
| (812) 659-3395 | |
| (812) 659-3432 |
| Full Name | William R Powers M.d. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 195 E Broad St, Lyons, Indiana |
| Authorized Official Name and Position | William R Powers (MEDICAL DOCTOR) |
| Authorized Official Contact | 8126593395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William R Powers M.d. Inc. 195 E Broad St P.o. Box 236 Lyons IN 47443-9502 Ph: (812) 659-3395 | William R Powers M.d. Inc. 195 E Broad St Lyons IN 47443-9502 Ph: (812) 659-3395 |
| NPI Number | 1720257819 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 02/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720257819 | NPI | - | NPPES |
| 100124550 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |