MIDWEST OTOLOGIC GROUP P.C. NPI 1053472092

NPI Details

MIDWEST OTOLOGIC GROUP, P.C. is an otology and neurotology otolaryngology in Saint Louis, MO. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. MIDWEST OTOLOGIC GROUP, P.C. NPI is 1053472092. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peter G. Smith, Md, Peter G. Smith, Md, Phd.

The provider's business location address is:

621 S NEW BALLAS RD
SUITE 597A
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 432-5151
Fax: (314) 432-8795

The provider's authorized official is Peter Gaillard Smith .
The authorized official title is President and has the following contact phone number (314) 432-5151.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 11/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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