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Organization
MARK W. POWELL, M.D. AND SHEILA M. BORICK, M.D.
Active
Organization
MARK W. POWELL, M.D. AND SHEILA M. BORICK, M.D.
Active
Other names
Wind Gap Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WRIGHT POWELL M.D. (PARTNER)
(610) 863-7888
Entity
Organization
Contact information
Practice address
131 S BROADWAY, WIND GAP, PA 18091-1425
(610) 863-7888
(610) 863-1081
Mailing address
131 S BROADWAY, WIND GAP, PA 18091-1425
(610) 863-7888
(610) 863-1081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD035977E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02283700
CAPITAL BLUE CROSS
PA
Enumeration date
03/21/2007
Last updated
08/22/2020
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