Individual
DR. NICHOLAS A POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12255 DEPAUL DR., SUITE 600, BRIDGETON, MO 63044
(314) 291-1074
Mailing address
1551 WALL ST, SUITE 310, SAINT CHARLES, MO 63303-3539
(636) 669-2268
(636) 669-2401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008014592
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
595100
BC/BS
—
Enumeration date
10/25/2005
Last updated
02/12/2009
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