Individual
CRAIG R HILDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10004 KENNERLY RD STE 137A, SAINT LOUIS, MO 63128-2140
(314) 842-7301
(314) 842-7308
Mailing address
10004 KENNERLY RD STE 137A, SAINT LOUIS, MO 63128-2140
(314) 842-7301
(314) 842-7308
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
R6F58
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203709100
—
MO
Enumeration date
08/15/2005
Last updated
03/17/2018
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