Organization
JERRY R. POWELL, M.D.
Active
Other names
Tipton Family Practice Associates, PC
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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01053633
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200914960A
—
IN
Enumeration date
11/30/2007
Last updated
02/02/2009
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