Organization Name: | EAR NOSE & THROAT & PLASTIC SURG INC |
NPI Number: | 1104911288 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY JOSEPH D'ANGELO (PARTNER) |
Mailing Address: | 2315 Dougherty Ferry Road Ste. 103 St. Louis |
State: | MO US |
Postal Code: | 63122 |
Phone Number: | 3148215002 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YS0123X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |