Povlow, Michael R

Povlow, Michael R is an individual health care provider with primary practice located at 4430 Missouri Ave , Fort Leonard Wood MO 65473-9098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Povlow, Michael R can be contacted via phone (210) 266-2158.

Contact Information

Primary practice address
4430 Missouri Ave Fort Leonard Wood MO 65473-9098
Phone: (210) 266-2158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2023026198 Missouri

Profile Details

NPI number 1598266884
LBN Legal business name Povlow, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2018
Last updated Jul 31st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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