Ear Nose Throat Medical Service

NPI #1407490105 in Chesterfield, Missouri

Provider Information

NPI Number
1407490105
Entity Type
Organization
Organization Name
Ear Nose Throat Medical Service
Primary Specialty
Otolaryngology - Otolaryngology/Facial Plastic Surgery
Enumeration Date
Nov 5, 2019
Last Updated
Oct 3, 2022

Practice Location

Address
226 S WOODS MILL RD STE 44W
ZIP Code
63017-3442
Phone
(314) 447-4995

Authorized Official

Name
KATHLEEN BURK
Title
DESIGNATED OFFICIAL
Phone
(314) 541-6838

Specialties & Taxonomy Codes

Specialty
Otolaryngology - Otolaryngology/Facial Plastic SurgeryOtolaryngology/Facial Plastic Surgery

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