Healthcare Provider Details

I. General information

NPI: 1275508368
Provider Name (Legal Business Name): HUGH A SCHUETZ D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 06/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N JEFFERSON ST
SAINT JAMES MO
65559-1078
US

IV. Provider business mailing address

1000 N JEFFERSON ST
SAINT JAMES MO
65559-1078
US

V. Phone/Fax

Practice location:
  • Phone: 573-265-8840
  • Fax: 573-265-8884
Mailing address:
  • Phone: 573-265-8840
  • Fax: 573-265-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number111580
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: