Packer, Mark D

Packer, Mark D is an individual health care provider with primary practice located at 607 S New Ballas Rd Suite 2300, St Louis MO 63141-8234. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otology & Neurotology is his primary health care specialty. Packer, Mark D can be contacted via phone (314) 251-6394.

Contact Information

Primary practice address
607 S New Ballas Rd Suite 2300 St Louis MO 63141-8234
Phone: (314) 251-6394
Fax: (314) 251-4235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2016009560 Missouri
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2016009560 Missouri
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 2016009560 Missouri

Profile Details

NPI number 1760470686
LBN Legal business name Packer, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 27th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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