Provider Demographics
NPI:1669908364
Name:POWER, HOLLIE ANN (MD)
Entity type:Individual
Prefix:DR
First Name:HOLLIE
Middle Name:ANN
Last Name:POWER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 SOUTH EUCLID AVENUE, 1150 NW TOWER, CAMPUS BOX 8238
Mailing Address - Street 2:DIVISION OF PLASTIC & RECONSTRUCTIVE SURGERY
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108
Mailing Address - Country:US
Mailing Address - Phone:314-747-0541
Mailing Address - Fax:
Practice Address - Street 1:660 SOUTH EUCLID AVENUE, 1150 NW TOWER, CAMPUS BX 8238
Practice Address - Street 2:DIVISION OF PLASTIC & RECONSTRUCTIVE SURGERY, WASHINGTO
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-747-0541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2022-07-21
Deactivation Date:2017-12-06
Deactivation Code:
Reactivation Date:2017-12-13
Provider Licenses
StateLicense IDTaxonomies
MO2017005306208200000X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand