| Doctor Name: | RICHARD E POWERS |
| NPI Number: | 1154326601 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G22262 |
| Business Practice Address: | 6800 Palm Ave Ste A Sebastopol, CA - 954724226 |
| Business Phone Number: | 7078235341 |
| Business Fax Number: | 7078238638 |
| Mailing Address: | 6800 Palm Ave, Ste A SEBASTOPOL |
| State: | CA |
| Postal Code: | 954724226 |
| Phone Number: | 7078235341 |
| Fax Number: | 7078238638 |
| NPI Enumeration Date: | 06/20/2005 |
| NPI Last Update Date: | 09/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | G22262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |