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Dr. Gregory Wade Edstrom, DC
Chiropractor in Affton, Missouri
NPI 1447389119

Gregory Wade Edstrom is a Chiropractor based in Affton, MO. Gregory Wade Edstrom practices in Affton, MO and has the professional credentials of DC. The NPI Number for Gregory Wade Edstrom is 1447389119 and holds a License No. 03699 (Missouri).

The current practice location address for Gregory Wade Edstrom is 5714 S Lindbergh Blvd, Affton, MO and can be reached out via phone at 314-842-4929 and via fax at 314-842-1829.

Location: 5714 S Lindbergh Blvd, Affton, MO, 63123-6955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447389119
Provider Name
Gregory Wade Edstrom
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
5714 S Lindbergh Blvd, Affton, MO, 63123-6955
Phone Number
314-842-4929
Fax Number
314-842-1829
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5714 S Lindbergh Blvd
City
Affton
State
Missouri
Zip
63123-6955
Phone Number
314-842-4929
Fax Number
314-842-1829
person
Provider Business Mailing Address Details
Address
5714 S Lindbergh Blvd
City
Affton
State
Missouri
Zip
63123-6955
Phone Number
314-842-4929
Fax Number
314-842-1829
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
03699 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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