Individual
DR. JOHN A. POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 S BRENTWOOD BLVD, STE.1160, RICHMOND HEIGHTS, MO 63117-1223
(314) 863-7080
(314) 863-1540
Mailing address
1034 S BRENTWOOD BLVD, STE.1160, RICHMOND HEIGHTS, MO 63117-1223
(314) 863-7080
(314) 863-1540
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
R6721
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300007
UNITED HEALTHCARE
MO
01
—
173476
BLUECROSSBLUE SHIELD
MO
01
—
3019555
CIGNA HEALTHCARE
MO
01
—
35408
GROUP HEALTH PLAN
MO
01
—
4000858
AETNA US HEALTHCARE
MO
Enumeration date
06/16/2006
Last updated
07/08/2007
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