Organization
POWERS CARDIOLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER DENNIS POWERS MD (PRESIDENT)
(219) 325-9671
Entity
Organization
Contact information
Practice address
607 JEFFERSON AVE, LA PORTE, IN 46350-3346
(219) 325-9671
(219) 325-9482
Mailing address
607 JEFFERSON AVE, LA PORTE, IN 46350-3346
(219) 325-9671
(219) 325-9482
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01045491
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192667
ANTHEM PIN
IN
05
—
200908200A
—
IN
Enumeration date
08/29/2007
Last updated
10/08/2008
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