OrganizationActive
Midwest Otologic Group, P.C.
NPI 1053472092 · Otology & Neurotology Physician · Saint Louis, MO
Provider details
- NPI number
- 1053472092
- Entity type
- Organization
- Primary specialty
- Otology & Neurotology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Peter Smith, President
- License
- MDR8770 (MO)
Practice location
621 S New Ballas Rd
Suite 597a
Saint Louis, MO 63141-8232
Phone: (314) 432-5151
Fax: (314) 432-8795
Mailing address
621 S New Ballas Rd
Saint Louis, MO 63141-8232
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.