Organization
POWERS FAMILY PRACTICE PC
Active
Other names
Thomas J Powers MD
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J POWERS MD (OWNER)
(928) 855-4224
Entity
Organization
Contact information
Practice address
1810 MESQUITE AVE, SUITE A, LAKE HAVASU CITY, AZ 86403-5886
(928) 855-4224
(928) 855-5114
Mailing address
1810 MESQUITE AVE, SUITE A, LAKE HAVASU CITY, AZ 86403-5886
(928) 855-4224
(928) 855-5114
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
AZ18959
AZ
Other
Enumeration date
06/17/2005
Last updated
09/21/2007
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