Individual
DR. HUGH G BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1031 BELLEVUE AVE STE 310, SAINT LOUIS, MO 63117-1857
(314) 768-8491
(314) 768-7196
Mailing address
PO BOX 955534 SUITE 310, SAINT LOUIS, MO 63195-1019
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
36358
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202175709
—
MO
Enumeration date
06/15/2005
Last updated
10/20/2020
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