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St Louis County Otolaryngology Ltd
Specialist in Bridgeton, Missouri
NPI 1881795219

St Louis County Otolaryngology Ltd is a Specialist based in Bridgeton, MO. St Louis County Otolaryngology Ltd practices in Bridgeton, MO. The NPI Number for St Louis County Otolaryngology Ltd is 1881795219 and holds a License No. 32656 (Missouri).

The current practice location address for St Louis County Otolaryngology Ltd is 12255 De Paul Dr Ste 160, Bridgeton, MO and can be reached out via phone at 314-291-8787 and via fax at 314-291-5804.

Location: 12255 De Paul Dr Ste 160, Bridgeton, MO, 63044-2510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881795219
Provider Name
St Louis County Otolaryngology Ltd
Credential
Provider Entity Type
Organization
Address
12255 De Paul Dr Ste 160, Bridgeton, MO, 63044-2510
Phone Number
314-291-8787
Fax Number
314-291-5804
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12255 De Paul Dr Ste 160
City
Bridgeton
State
Missouri
Zip
63044-2513
Phone Number
314-291-8787
Fax Number
314-291-5804
person
Provider Business Mailing Address Details
Address
12255 De Paul Dr Ste 160
City
Bridgeton
State
Missouri
Zip
63044-2513
Phone Number
314-291-8787
Fax Number
314-291-5804
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
32656 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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