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NPI Code Detail

MEDICARE: ALICE CATHERINE POWELL P. A.

MEDICARE:   ALICE CATHERINE POWELL  P. A.
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
1363A00000XPhysician AssistantA10208LA

General Provider Information

NPI Number : 1386694560
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE CATHERINE POWELL P. A.
Provider Business Mailing Address
First Line : 6516 E MYRTLE AVE
Second Line :
City : BAKER
State : LA
Zip : 70714-4348
Country : US
Telephone Number : 225-774-7320
Fax Number : 225-774-5432
Provider Business Practice Location Address
First Line : 6516 E MYRTLE AVE
Second Line :
City : BAKER
State : LA
Zip : 70714-4348
Country : US
Telephone Number : 225-774-7320
Fax Number : 225-774-5432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/08/2007

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Directions to “ ALICE CATHERINE POWELL P. A.” Practice Location

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