Individual
PEYTON POWROZNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 WINDHAM PL, MASONTOWN, WV 26542-8606
(304) 692-1964
Mailing address
10 WINDHAM PL, MASONTOWN, WV 26542-8606
(304) 692-1964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2899
WV
Other
Enumeration date
08/18/2022
Last updated
07/31/2024
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