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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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