Individual
DR. HUDDA J HANTUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1244 MONTAIGNE DR, SAINT LOUIS, MO 63131-1012
(314) 453-0274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD114258
MO
Other
Enumeration date
04/03/2006
Last updated
03/26/2012
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