NPI 1023503851

Ethan Craig, MD

Practitioner Otolaryngology Physician Saint Louis, MO

Practice location

Address: 607 S New Ballas Rd STE 2300, Saint Louis, MO 63141-8234
Phone: (314) 251-6394

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 2023040235 (MO)

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Registry record

NPI: 1023503851
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2018
Record last updated: 3 Sep 2024

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.