OrganizationActive
Ear Nose & Throat & Plastic Surg Inc
NPI 1104911288 · Facial Plastic Surgery Physician · Saint Louis, MO
Provider details
- NPI number
- 1104911288
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Richard Barnes, President
Practice location
2325 Dougherty Ferry Rd Ste 106
Saint Louis, MO 63122-3356
Phone: (314) 821-5002
Fax: (314) 821-5029
Mailing address
2325 Dougherty Ferry Rd Ste 106
Saint Louis, MO 63122-3356
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2025-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.