Individual provider · Type 1 NPI

Jastin L. Antisdel, MD

Otolaryngology Physician · St. Louis, MO

NPI number 1073714564 Active

Practice location

1225 S Grand Blvd, Garden Level
St. Louis, MO 63104-1016

Call (314) 977-5110 Map

Fax (314) 977-7686

Mailing address

1008 S Spring Ave Fl 3
St. Louis, MO 63110-2520

Other practice locations

  • 555 N New Ballas Rd Ste 260, St. Louis, MO 63141-6886 · (314) 977-6362

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000X062018 (GA)
Otolaryngology Physician Primary 207Y00000X2005036993 (MO)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1073714564

Jastin L. Antisdel, MD's National Provider Identifier is 1073714564, issued on May 30, 2007. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 13, 2021.