Individual
DR. MATTHEW A POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV OBGYN GYNECOLOGIC ONCOLOGY, STE 13C, SAINT LOUIS, MO 63110-1032
(314) 362-3181
(314) 362-2893
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-3181
(314) 362-2893
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
118596
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205836307
—
MO
Enumeration date
07/17/2006
Last updated
04/17/2025
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