Individual
MYRON POWELSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2951 MAPLE AVENUE, ZANESVILLE, OH 43701-1406
(513) 672-3309
(513) 672-3323
Mailing address
945 BETHESDA DRIVE, 200B, ZANESVILLE, OH 43701-1406
(740) 455-4937
(740) 455-4931
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.045748
OH
207L00000X
Anesthesiology Physician
35045748
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050056064
RAILROAD MEDICARE
—
05
—
0527255
—
OH
Enumeration date
09/15/2005
Last updated
06/16/2009
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