Organization · Type 2 NPI
Hodag Medical Services, LLC
Otolaryngology/Facial Plastic Surgery Physician · St. Peters, MO
NPI number
1003336819
Active
Practice location
4800 Mexico Rd Ste 103
St. Peters, MO 63376-1666
Fax (314) 821-5029
Mailing address
1324 Clarkson Clayton Ctr Unit 301
Ellisville, MO 63011-2145
Other practice locations
- 12277 De Paul Dr Ste 303, Bridgeton, MO 63044-2529 · (314) 770-0708
- 2315 Dougherty Ferry Rd Ste 103, St. Louis, MO 63122-3383 · (314) 821-5002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | R6G71 (MO) |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | R6G71 (MO) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
2 other providers at this address
About NPI 1003336819
Hodag Medical Services, LLC's National Provider Identifier is 1003336819, issued on Jun 22, 2017. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in St. Peters, MO. The record was last updated on Aug 13, 2019.