MIDWEST OTOLOGIC GROUP, P.C.
Organization (NPI-2)
Active
Otolaryngology, Otology & Neurotology
Provider Information
- NPI Number
1053472092- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 621 S NEW BALLAS RD SUITE 597A, SAINT LOUIS, MO, 631418232
- Phone
- (314) 432-5151
- Fax
- (314) 432-8795
Specialties & Taxonomies
Otolaryngology, Otology & Neurotology
Primary License: MO #MDR8770