Organization
BRIAN POWDERLY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN POWDERLY MD (OWNER/PRESIDENT)
(304) 422-8112
Entity
Organization
Contact information
Practice address
3211 DUDLEY AVE, PARKERSBURG, WV 26104-1813
(304) 422-8112
Mailing address
3211 DUDLEY AVE, PARKERSBURG, WV 26104-1813
(304) 422-8112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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