# BRIAN POWDERLY MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073087482
- **Authorized official:** BRIAN POWDERLY MD (OWNER/PRESIDENT)
- **Authorized official phone:** (304) 422-8112

## Contact information

- **Practice address:** 3211 DUDLEY AVE, PARKERSBURG, WV 26104-1813
- **Practice address phone:** (304) 422-8112
- **Mailing address:** 3211 DUDLEY AVE, PARKERSBURG, WV 26104-1813
- **Mailing address phone:** (304) 422-8112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2019
- **Last updated:** 01/18/2019