NPI 1003336819

Hodag Medical Services, LLC

Organisation Otolaryngology/Facial Plastic Surgery Physician Saint Peters, MO

Practice location

Address: 4800 Mexico Rd STE 103, Saint Peters, MO 63376-1666
Phone: (636) 936-5002
Fax: (314) 821-5029
Mailing address: 1324 Clarkson Clayton Ctr Unit 301, Ellisville, MO 63011-2145

Authorised official

Name: Paul E. Burk
Title: Physician
Phone: (314) 821-5002

Registered specialties (2)

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence R6G71 (MO)

Other Otolaryngology providers in Missouri →

Otolaryngic Allergy Physician

Allopathic & Osteopathic Physicians Taxonomy 207YX0602X Licence R6G71 (MO)

Registry record

NPI: 1003336819
Entity type: Organization
NPI issued: 22 Jun 2017
Record last updated: 13 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.