Powell, Dexter Tyler

Powell, Dexter Tyler is an individual health care provider with primary practice located at 660 S Euclid Ave , Saint Louis MO 63110-1010. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Powell, Dexter Tyler can be contacted via phone (314) 747-2566.

Contact Information

Primary practice address
660 S Euclid Ave Saint Louis MO 63110-1010
Phone: (314) 747-2566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Michigan
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 2024016619 Missouri

Profile Details

NPI number 1497319511
LBN Legal business name Powell, Dexter Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2019
Last updated Jun 7th, 2024 - about last year

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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