Powderly, William G

Powderly, William G is an individual health care provider with primary practice located at 620 S Taylor Ave Div Im Infectious Disease, Ste 100, Saint Louis MO 63110-1035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Powderly, William G can be contacted via phone (314) 362-9098.

Contact Information

Primary practice address
620 S Taylor Ave Div Im Infectious Disease, Ste 100 Saint Louis MO 63110-1035
Phone: (314) 362-9098
Fax: (314) 362-9851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 2013003690 Missouri

Profile Details

NPI number 1275878019
LBN Legal business name Powderly, William G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2012
Last updated Apr 17th, 2025 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275878019 NPPES
Missouri MEDICAID 202535316

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