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NPI Provider: 1467457135
Contact Name: Powers J Thomas
Position: Owner
Phone: (928) 855-4224
Powers Family Practice Pc Information:
Powers Family Practice Pc organization have npi 1467457135, taxonomy code is 305R00000X with license number is AZ18959 in . This Business address located in 1810 Mesquite Ave, Lake Havasu City, AZ 86403 Arizona. Get directions of Powers Family Practice Pc.
Practice Location
Address: 1810 Mesquite Ave, Lake Havasu City, AZ 86403
Phone: (928) 855-4224
Business Location
Address: 1810 Mesquite Ave, Lake Havasu City, AZ 86403
Phone: (928) 855-4224
Fax: (928) 855-5114
Taxonomy
Taxonomy Code: 305R00000X
License Number: AZ18959
License Number of State: AZ
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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