# HODAG MEDICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003336819
- **Authorized official:** PAUL E. BURK DO (PHYSICIAN)
- **Authorized official phone:** (314) 821-5002

## Contact information

- **Practice address:** 4800 MEXICO RD STE 103, SAINT PETERS, MO 63376-1666
- **Practice address phone:** (636) 936-5002
- **Practice address fax:** (314) 821-5029
- **Mailing address:** 1324 CLARKSON CLAYTON CTR UNIT 301, ELLISVILLE, MO 63011-2145
- **Mailing address phone:** (314) 541-6838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0602X | Otolaryngic Allergy Physician | R6G71 | MO | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | R6G71 | MO | Yes |

## Other

- **Enumeration date:** 06/22/2017
- **Last updated:** 08/13/2019