Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | C5594 | AR |
NPI | 1053327981 |
---|---|
Provider Name | Dr. Cathey L Powers |
First Address | Little Rock, AR 72223-8907 |
Second Address | Little Rock, AR 72205-5446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 08/07/2007 |