Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY WADE EDSTROM, D.C.
Active Sole ProprietorDR. GREGORY WADE EDSTROM, D.C. is a Chiropractor healthcare provider located in AFFTON, Missouri. NPI 1447389119 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · AFFTON, MO
Registration Details
- NPI Number
- 1447389119
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2007 (19.445202217202 yrs)
- Last Updated
- Jul 8, 2007
- License
-
03699 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5714 S LINDBERGH BLVD#7AFFTON, MO, 631236955Browse MO providers · Browse ZIP 63123
- Phone
- 3148424929
- Fax
- 3148421829
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in AFFTON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. DUY DUC NGUYEN | D.C. | 1619053907 |
| DR. JESSE DANIEL POLITOWSKI | D.C. | 1144656448 |
| DR. DERRICK NOHL | D.C. | 1225449937 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.