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NORTHWEST OTOLARYNGOLOGY INC NPI 1578747408


NPI Information

NPI: 1578747408
Provider Name: NORTHWEST OTOLARYNGOLOGY, INC

Doing Business As: NORTHWEST OTOLARYNGOLOGY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
12255 DE PAUL DR STE 830N
BRIDGETON, MO
ZIP 63044
Phone: (314) 291-5307
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NORTHWEST OTOLARYNGOLOGY, INC is a specialist in Bridgeton, MO. The provider is 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. NORTHWEST OTOLARYNGOLOGY, INC NPI is 1578747408. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northwest Otolaryngology.

The provider's business location address is:

12255 DE PAUL DR STE 830N
BRIDGETON, MO
ZIP 63044-510
Phone: (314) 291-5307
Fax: (314) 291-0838

The provider's authorized official is Melissa Budzinski .
The authorized official title is Billing Manager and has the following contact phone number (636) 379-6006.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 10/15/2019.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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