Individual
MR. THEODORE SCOTT POWERS
Active
Individual
MR. THEODORE SCOTT POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
21862
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000948666
—
AL
05
—
051500645
—
AL
01
—
P00389542
RAILROAD MEDICARE
AL
Enumeration date
07/02/2006
Last updated
11/18/2016
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