Individual
BRIAN BREON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
718 WOOD ST, PITTSBURGH, PA 15221-2842
(412) 243-3400
Mailing address
712 SOUTH AVE, PITTSBURGH, PA 15221-2940
(412) 243-3400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
11505
PA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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