Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2005002434 | MO |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 2005002434 | MO |
NPI | 1235140328 |
---|---|
Provider Name | Christopher W Hugge |
First Address | St. Louis, MO 63110-2515 |
Second Address | St. Louis, MO 63104-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 31/07/2015 |