MEDICARE: PHYSICIANS FOR WOMEN, PLC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1790819811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS FOR WOMEN, PLC

Provider Business Mailing Address
First Line	:	1900 MALVERN AVE STE 401
Second Line	:
City	:	HOT SPRINGS NATIONAL PARK
State	:	AR
Zip	:	71901-7779
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 MALVERN AVE STE 401
Second Line	:
City	:	HOT SPRINGS NATIONAL PARK
State	:	AR
Zip	:	71901-7779
Country	:	US
Telephone Number	:	501-623-6455
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRENDA N POWELL
Credential	:	MD
Telephone Number	:	501-623-6455

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/27/2009

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