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Individual

ALEXANDRA POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3250 GORDONVILLE RD STE 358, CAPE GIRARDEAU, MO 63703-5095
(573) 331-3155
(573) 331-5096
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-3000
(573) 331-5073

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.
IL
363A00000X
Physician Assistant
085006472
IL
363A00000X
Physician Assistant
Primary
2017031874
MO
363AM0700X
Medical Physician Assistant
2017031874
MO
363AS0400X
Surgical Physician Assistant
2017031874
MO

Other

Enumeration date
09/05/2017
Last updated
03/16/2021
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