| Gafford General Practices, Llc | |
|
1000 Executive Parkway Dr Suite 120 Creve Coeur MO 63141-6325 | |
| (314) 275-7802 | |
| (314) 275-7801 |
| Full Name | Gafford General Practices, Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 1000 Executive Parkway Dr, Creve Coeur, Missouri |
| Authorized Official Name and Position | Jennifer Gafford (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3142757802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gafford General Practices, Llc 1000 Executive Parkway Dr Suite 120 Creve Coeur MO 63141-6325 Ph: (314) 275-7802 | Gafford General Practices, Llc 1000 Executive Parkway Dr Suite 120 Creve Coeur MO 63141-6325 Ph: (314) 275-7802 |
| NPI Number | 1659301562 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659301562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2001031420 (Missouri) | Primary |
| 111N00000X | Chiropractor | 2004013906 (Missouri) | Primary |
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