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Michael R Povlow, MD
Diagnostic Radiology Physician in Fort Leonard Wood, Missouri
NPI 1598266884

Michael R Povlow is a Diagnostic Radiology Physician based in Fort Leonard Wood, MO and is specialized in Diagnostic Radiology. Michael R Povlow practices in Fort Leonard Wood, MO and has the professional credentials of MD. The NPI Number for Michael R Povlow is 1598266884 and holds a License No. 2023026198 (Missouri).

The current practice location address for Michael R Povlow is 4430 Missouri Ave, Fort Leonard Wood, MO and can be reached out via phone at 210-266-2158.

Location: 4430 Missouri Ave, Fort Leonard Wood, MO, 65473-9098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598266884
Provider Name
Michael R Povlow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4430 Missouri Ave, Fort Leonard Wood, MO, 65473-9098
Phone Number
210-266-2158
Fax Number
Provider Enumeration Date
02/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4430 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-9098
Phone Number
210-266-2158
Fax Number
person
Provider Business Mailing Address Details
Address
4430 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-9098
Phone Number
210-266-2158
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
2023026198 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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