Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 2017005306 | MO |
Y | 208600000X | Surgeon | 2017005306 | MO |
N | 2082S0105X | Plastic Hand Surgeon | 2017005306 | MO |
NPI | 1669908364 |
---|---|
Provider Name | Dr. Hollie Ann Power |
First Address | St. Louis, MO 63108 |
Second Address | St Louis, MO 63110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2017 |
Last Update Date | 13/12/2017 |