South City Chiropractic Clinic Llc | |
6841 Gravois Ave, Saint Louis, MO 63116-1162 | |
(317) 353-4357 | |
Not Available |
Full Name | South City Chiropractic Clinic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 6841 Gravois Ave, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639408636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Christopher A Gaddie |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194995191 PECOS PAC ID: 3678650215 Enrollment ID: I20090805000612 |
Mailing Address | Practice Location Address |
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South City Chiropractic Clinic Llc 6841 Gravois Ave, Saint Louis, MO 63116-1162 Ph: () - | South City Chiropractic Clinic Llc 6841 Gravois Ave, Saint Louis, MO 63116-1162 Ph: (317) 353-4357 |
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