OrganizationActive
Hodag Medical Services, LLC
NPI 1003336819 · Otolaryngology/Facial Plastic Surgery Physician · Saint Peters, MO
Provider details
- NPI number
- 1003336819
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Paul Burk, Physician
- License
- R6G71 (MO)
Practice location
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
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2019-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.