Organization · Type 2 NPI

Northwest Otolaryngology, Inc

Specialist · Bridgeton, MO

NPI number 1578747408 Active

Practice location

12255 De Paul Dr Ste 830N
Bridgeton, MO 63044-2510

Fax (314) 291-0838

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: 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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NPI record

NPI: 1578747408
Entity type: Organization (Type 2)
Issued: Dec 27, 2007
Last updated: Oct 15, 2019
Status: Active

Other names

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Northwest Otolaryngology · doing business as
Northwest Otolaryngology · doing business as

Authorized official

Melissa Budzinski
Billing Manager
(636) 379-6006

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About NPI 1578747408

Northwest Otolaryngology, Inc's National Provider Identifier is 1578747408, issued on Dec 27, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bridgeton, MO. The record was last updated on Oct 15, 2019.