NPI 1104826098

Justin E. Hugo, MD

Practitioner Family Medicine Physician Fenton, MO

Practice location

Address: 714 Gravois Rd Suite 210, Fenton, MO 63026-7727
Phone: (314) 543-5230
Fax: (314) 543-5280

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2004002167 (MO)

Other Family Medicine providers in Missouri →

Registry record

NPI: 1104826098
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2005
Record last updated: 7 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.