institution
Midwest Otologic Group, P.c.
Otology & Neurotology Physician in Saint Louis, Missouri
NPI 1053472092

Midwest Otologic Group, P.c. is a Otology & Neurotology Physician based in Saint Louis, MO and is specialized in Otology & Neurotology. Midwest Otologic Group, P.c. practices in Saint Louis, MO. The NPI Number for Midwest Otologic Group, P.c. is 1053472092 and holds a License No. MDR8770 (Missouri).

The current practice location address for Midwest Otologic Group, P.c. is 621 S New Ballas Rd, Saint Louis, MO and can be reached out via phone at 314-432-5151 and via fax at 314-432-8795.

Location: 621 S New Ballas Rd, Saint Louis, MO, 63141-8232
institution
Provider Profile Details
NPI Number
1053472092
Provider Name
Midwest Otologic Group, P.c.
Credential
Provider Entity Type
Organization
Address
621 S New Ballas Rd, Saint Louis, MO, 63141-8232
Phone Number
314-432-5151
Fax Number
314-432-8795
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1518961440 01 PERSONAL NPI
institution
Provider Business Practice Location Address Details
Address
621 S New Ballas Rd
City
State
Zip
63141-8232
Phone Number
314-432-5151
Fax Number
314-432-8795
person
Provider Business Mailing Address Details
Address
621 S New Ballas Rd
City
State
Zip
63141-8232
Phone Number
314-432-5151
Fax Number
314-432-8795
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otology & Neurotology
Taxonomy
License No.
MDR8770 (Missouri)
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
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