Individual
DR. CHARLES BUFORD HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 SOUTH GRAND BLVD., SUITE 5730 CARDINAL GLENNON HOSP., ST. LOUIS, MO 63104-1095
(314) 268-4183
(314) 577-5313
Mailing address
1465 SOUTH GRAND BLVD., SUITE 5730 CARDINAL GLENNON HOSP., ST. LOUIS, MO 63104-1095
(314) 268-4183
(314) 577-5313
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R7N52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202874004
—
MO
Enumeration date
07/14/2006
Last updated
04/24/2014
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