Individual
MATTHEW POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 S EUCLID AVE, MSC 8116-0043-08, ST. LOUIS, MO 63110-1010
(314) 454-4569
(314) 454-2561
Mailing address
660 S EUCLID AVE, MSC 8116-0043-08, ST. LOUIS, MO 63110-1010
(314) 454-4569
(314) 454-2561
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2025023110
MO
208000000X
Pediatrics Physician
9408066
KS
Other
Enumeration date
05/13/2013
Last updated
06/19/2025
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