Organization
MIDWEST MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BURK D.O. (PRESIDENT)
(314) 735-5015
Entity
Organization
Contact information
Practice address
1324 CLARKSON CLAYTON CTR, #301, ELLISVILLE, MO 63011-2145
(314) 735-5015
Mailing address
1324 CLARKSON CLAYTON CTR, #301, ELLISVILLE, MO 63011-2145
(314) 735-5015
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
R6G71
MO
Other
Enumeration date
12/17/2012
Last updated
01/15/2013
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