Organization
JOHN A. POWELL DERMATOLOGY, LTD
Active
Organization
JOHN A. POWELL DERMATOLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A POWELL M.D. (M.D. MEDICAL PRACTICE)
(314) 863-7080
Entity
Organization
Contact information
Practice address
1034 SO. BRENTWOOD BLVD, SUITE 1160, ST. LOUIS, MO 63117-1258
(314) 863-7080
(314) 863-1540
Mailing address
1034 SO. BRENTWOOD BLVD, SUITE 1160, ST. LOUIS, MO 63117-1258
(314) 863-7080
(314) 863-1540
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R6721
MO
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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