Provider Demographics
NPI:1730490830
Name:HAMM, CHRISTOPHER BARCLAY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BARCLAY
Last Name:HAMM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1000 DES PERES RD
Mailing Address - Street 2:STE 310
Mailing Address - City:DES PERES
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2050
Mailing Address - Country:US
Mailing Address - Phone:314-821-1313
Mailing Address - Fax:314-821-5670
Practice Address - Street 1:1000 DES PERES RD
Practice Address - Street 2:STE 310
Practice Address - City:DES PERES
Practice Address - State:MO
Practice Address - Zip Code:63131-2050
Practice Address - Country:US
Practice Address - Phone:314-821-1313
Practice Address - Fax:314-821-5670
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2010019752207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1730490830Medicaid
MOP01241130OtherRAILROAD MEDICARE
MOP01241130OtherRAILROAD MEDICARE