Provider Demographics
NPI:1992793459
Name:HUGGE, CHRISTINA M (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:HUGGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:M
Other - Last Name:BOSSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:10777 SUNSET OFFICE DR
Mailing Address - Street 2:200
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1019
Mailing Address - Country:US
Mailing Address - Phone:314-842-4802
Mailing Address - Fax:314-849-8721
Practice Address - Street 1:10777 SUNSET OFFICE DR
Practice Address - Street 2:STE 200
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1019
Practice Address - Country:US
Practice Address - Phone:314-842-4802
Practice Address - Fax:314-849-8721
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005008764207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO207184102Medicaid
MO1992793459Medicaid
MOP01221939OtherRAILROAD MEDICARE
MOP01322562OtherRAILROAD MEDICARE
I35498Medicare UPIN
MOP01322562OtherRAILROAD MEDICARE
MO207184102Medicaid