Search › Missouri › Otolaryngology Physician
Jastin Antisdel, MD
NPI 1073714564 · on the registry since 2007
Practice
- Address
- 1225 S Grand Blvd
Garden Level
Saint Louis, MO 63104 - Phone
- (314) 977-5110
- Fax
- (314) 977-7686
- Organisation at this address
- Ssm-Sluh, Inc.
St Louis University
St Louis University
Ssm Health Care Group
Ssm Health Care GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 114
Additional practice sites
- 555 N New Ballas Rd Ste 260, Saint Louis, MO
Registry record
- Primary taxonomy
- Otolaryngology Physician
207Y00000X
- Also registered as
- Otolaryngology Physician
- Licence states on file
- GA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri