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Individual

GARA L. POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 820-5750
(417) 820-5066
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2009006317
MO

Other

Enumeration date
03/25/2009
Last updated
06/03/2009
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