Individual
FINBAR GERARD POWDERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1578 ELIZABETH PIKE, MINERAL WELLS, WV 26150-8413
(304) 489-1222
(304) 489-1285
Mailing address
PO BOX 489, MINERAL WELLS, WV 26150-0489
(304) 489-1222
(304) 489-1285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12798
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056452001
—
WV
Enumeration date
07/10/2006
Last updated
07/20/2015
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