Organization
EMPOWERME MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHURCH (VP FINANCE)
(618) 972-5228
Entity
Organization
Contact information
Practice address
10540 METROPOLITAN AVE, KENSINGTON, MD 20895-2608
(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
07/23/2024
Last updated
07/23/2024
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