| Dr Alex J Gafford, DC | |
|
745 Craig Rd, Suite 301, Saint Louis, MO 63141-7122 | |
| (314) 275-7802 | |
| Not Available |
| Full Name | Dr Alex J Gafford |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 745 Craig Rd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639174691 | NPI | - | NPPES |
| 189632 | Other | MO | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2004013906 (Missouri) | Primary |
| Provider Name | Family Care Health Centers |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508867508 PECOS PAC ID: 7911815097 Enrollment ID: O20041206000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alex J Gafford, DC 12117 Ladue Heights Drive, Saint Louis, MO 63141-6656 Ph: (314) 275-7802 | Dr Alex J Gafford, DC 745 Craig Rd, Suite 301, Saint Louis, MO 63141-7122 Ph: (314) 275-7802 |
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