Organization
EMPOWERME MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHURCH (VP OF FINANCE)
(618) 972-5228
Entity
Organization
Contact information
Practice address
9747 SIERRA COLLEGE BLVD, GRANITE BAY, CA 95746-6320
(877) 367-9772
Mailing address
1335 STRASSNER DR, BRENTWOOD, MO 63144-1872
(877) 367-9772
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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