Individual
DR. JAMES S POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6800 STATE ROUTE 162, DEPT. OF ANESTHESIOLOGY, MARYVILLE, IL 62062-8500
(618) 288-5711
Mailing address
6 WHITE FANG DR, GLEN CARBON, IL 62034-1397
(618) 288-0938
(618) 288-0938
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036111788
IL
207L00000X
Anesthesiology Physician
2005015447
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207401001
—
MO
Enumeration date
01/30/2006
Last updated
01/25/2010
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