Individual
ROBERT W POWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SOUTHWEST BLVD, SUITE D, JEFFERSON CITY, MO 65109
(573) 632-5780
(573) 632-5833
Mailing address
1500 SOUTHWEST BLVD, SUITE D CAPITAL REGION FAMILY PHYSICIANS SOUTHWEST, JEFFERSON CITY, MO 65109
(573) 632-5780
(573) 632-5833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RSC37
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122339
BLUE CROSS BLUE SHIELD
—
01
—
178444
HEALTHLINK
—
01
—
1910755
CIGNA
—
05
—
201740826
—
MO
01
—
832083
FIRST HEALTH
—
Enumeration date
02/07/2006
Last updated
06/26/2012
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