Gregory Wade Edstrom, D.C.
Chiropractor · Affton, MO
Practice location
5714 S Lindbergh Blvd#7
Affton, MO 63123-6955
- Phone
- (314) 842-4929
- Fax
- (314) 842-1829
NPI record
- NPI
- 1447389119
- Entity type
- Individual (Type 1)
- Enumeration date
- March 5, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
03699 | MO |
About Dr. Edstrom
Gregory Wade Edstrom, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 5714 S Lindbergh Blvd, #7, Affton, MO 63123-6955. The NPI number 1447389119 was assigned on March 5, 2007 and the record was last updated on July 8, 2007.
Dr. Edstrom lists a license in the registry: #03699 (MO) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Gregory Wade Edstrom, D.C.?
The NPI number is 1447389119.
What is the phone number of Dr. Edstrom?
The phone number listed for the practice location is (314) 842-4929.
Where is Dr. Edstrom located?
5714 S Lindbergh Blvd, #7, Affton, MO 63123-6955.
What is the taxonomy code for Dr. Edstrom?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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