| NPI | 1467457135 |
|---|---|
| Other Name | THOMAS J POWERS MD |
| Entity Type | Organization |
| Authorized Contact | THOMAS J POWERS Owner 928-855-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ AZ18959) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2007-09-21 |