MEDICARE: MRS. PATRICIA LIZABETH POWERS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	35056724	OH

General Provider Information

NPI Number	:	1093787046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA LIZABETH POWERS MD

Provider Business Mailing Address
First Line	:	6461 FRANK AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-8412
Country	:	US
Telephone Number	:	330-494-4222
Fax Number	:	330-494-2761

Provider Business Practice Location Address
First Line	:	6461 FRANK AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-8412
Country	:	US
Telephone Number	:	330-494-4222
Fax Number	:	330-494-2761

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	07/08/2007

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