Whalio Doctors

NPI 1952387516

Wallace P Berkowitz MD LTD

Organisation Otolaryngology Physician St Louis, MO

Practice location

Address
6651 Chippewa STE 324, St Louis, MO 63109-2538
Phone
(314) 647-8895
Fax
(314) 647-8898

Authorised official

Name
Wallace P Berkowitz
Title
President Owner
Phone
(314) 647-8895

Registered specialties (2)

Otolaryngology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence R4234 (MO)

Registry record

NPI
1952387516
Entity type
Organization
NPI issued
15 Dec 2005
Record last updated
20 Apr 2008

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.