NORTH SIDE FOOT CLINIC P.C. NPI 1194961953

NPI Details

NORTH SIDE FOOT CLINIC P.C. is a podiatrist in Saint Louis, MO. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. NORTH SIDE FOOT CLINIC P.C. NPI is 1194961953. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4451 NATURAL BRIDGE AVE
SUITE 104
SAINT LOUIS, MO
ZIP 63115-628
Phone: (314) 385-1590
Fax: (314) 385-1606

The provider's authorized official is Carl E. Hughes .
The authorized official title is President and has the following contact phone number (314) 385-1590.

The enumeration date for this NPI number is 12/29/2008 and was last updated on 12/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.