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Organization

TIPTON FAMILY PRACTICE ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY R POWELL II MD (PRESIDENT)
(765) 675-8733
Entity
Organization

Contact information

Practice address
239 ASH ST, TIPTON, IN 46072-1752
(765) 675-8733
(765) 675-7121
Mailing address
239 ASH ST, TIPTON, IN 46072-1752
(765) 675-8733
(765) 675-7121

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01053633
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01053633
IN

Other

Enumeration date
11/30/2007
Last updated
08/27/2008
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