Michelle L Powell Valid NPI
Individual provider · Surgical Physician Assistant · O Fallon, MO
- NPI
- 1477885945
- Type
- Individual (Type 1)
- Primary specialty
- Surgical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AS0400X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2010-02-08
- Last updated
- 2020-10-09
Practice location
7827 Town Square Ave, Suite 104
O Fallon, MO 63368-6704
(636) 734-0386