Organization
NORTHWEST OTOLARYNGOLOGY, INC
Active
Organization
NORTHWEST OTOLARYNGOLOGY, INC
Active
Other names
NORTHWEST OTOLARYNGOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BUDZINSKI (BILLING MANAGER)
(636) 379-6006
Entity
Organization
Contact information
Practice address
12255 DE PAUL DR STE 830N, BRIDGETON, MO 63044-2510
(314) 291-5307
(314) 291-0838
Mailing address
12255 DE PAUL DR STE 830N, BRIDGETON, MO 63044-2510
(314) 291-5307
(314) 291-0838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
10/15/2019
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