Individual
ROBERT BART POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 N NAPPANEE ST, SUITE 11B, ELKHART, IN 46514-1503
(574) 522-9922
(574) 522-9926
Mailing address
PO BOX 3055, INDIANAPOLIS, IN 46206-3055
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02003067A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000478049
ANTHEM BCBS
IN
05
—
200818130
—
IN
Enumeration date
06/28/2005
Last updated
03/26/2009
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