Powers Family Practice PC
NPI #1467457135 in Lake Havasu City, Arizona
Provider Information
- NPI Number
- 1467457135
- Entity Type
- Organization
- Organization Name
- Powers Family Practice PC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jun 17, 2005
- Last Updated
- Sep 21, 2007
Practice Location
- Address
- 1810 MESQUITE AVE
- Address 2
- SUITE A
- City
- Lake Havasu City
- State
- Arizona
- ZIP Code
- 86403-5886
- Phone
- (928) 855-4224
Authorized Official
- Name
- THOMAS J POWERS, MD
- Title
- OWNER
- Phone
- (928) 855-4224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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