Organization · Type 2 NPI
ST Louis County Otolaryngology Ltd
Specialist · Bridgeton, MO
NPI number
1881795219
Active
Practice location
12255 De Paul Dr Ste 160
Bridgeton, MO 63044-2513
Fax (314) 291-5804
Mailing address
12255 De Paul Dr
Bridgeton, MO 63044-2510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 32656 (MO) |
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.
Other specialist providers in Bridgeton
About NPI 1881795219
ST Louis County Otolaryngology Ltd's National Provider Identifier is 1881795219, issued on Sep 26, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bridgeton, MO. The record was last updated on Aug 22, 2020.