Organization
FAYETTE PULMONARY MEDICINE SPECIALISTS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROBERT POWELL MD (PRESIDENT)
(724) 366-1454
Entity
Organization
Contact information
Practice address
16 VERNON AVE, ASHLAND, OH 44805-4037
(419) 282-9440
Mailing address
104 DELAWARE AVE, SUITE 246, UNIONTOWN, PA 15401-3100
(724) 437-4400
(724) 569-1362
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD029340E
PA
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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