Individual
CRYSTAL JEAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
3850 S NATIONAL AVE STE 400, SPRINGFIELD, MO 65807-5287
(417) 269-7290
(417) 269-7297
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2006005289
MO
Other
Enumeration date
07/06/2006
Last updated
07/28/2021
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