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Organization
NORTH SIDE FOOT CLINIC P.C.
Active
Organization
NORTH SIDE FOOT CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL E. HUGHES SR. D.P.M. (PRESIDENT)
(314) 385-1590
Entity
Organization
Contact information
Practice address
4451 NATURAL BRIDGE AVE, SUITE 104, SAINT LOUIS, MO 63115-2628
(314) 385-1590
(314) 385-1606
Mailing address
4451 NATURAL BRIDGE AVE, SUITE 104, SAINT LOUIS, MO 63115-2628
(314) 385-1590
(314) 385-1606
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000359
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174744320
NPI NUMBER
—
Enumeration date
12/29/2008
Last updated
12/29/2008
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