OrganizationActive
Ear Nose Throat Medical Service
NPI 1407490105 · Otolaryngology/Facial Plastic Surgery Physician · Chesterfield, MO
Provider details
- NPI number
- 1407490105
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathleen Burk, Designated Official(314) 541-6838
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
226 S Woods Mill Rd Ste 44w
Chesterfield, MO 63017-3442
Phone: (314) 447-4995
Fax: (314) 682-6093
Approximate (ZIP-level) locationGet directions
Mailing address
1324 Clarkson Clayton Ctr Ste 301
Ellisville, MO 63011-2145
Additional practice locations (1)
- 4800 Mexico Rd Ste 103Saint Peters, MO 63376-1666Phone: (636) 936-5002
Registry dates
- Enumerated
- 2019-11-05
- Last updated
- 2022-10-03
- Certified
- 2022-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.