GREGORY W EDSTROM

Dr GREGORY W EDSTROM is a male medical professional, specializing in Chiropractic. He graduated in 1973 from Logan College Of Chiropractic.

Contact

5714 S LINDBERGH BLVD
SUITE 2
AFFTON
MO
631236955

Tel: 3148424929

GREGORY W EDSTROM Information

Npi 1447389119
Pac Id 4486795416
Professional Enrollment Id I20100112000742
Last Name EDSTROM
First Name GREGORY
Middle Name W
Suffix
Gender M
Credential
Medical School Name LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year 1973
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 5714 S LINDBERGH BLVD
Line 2 Street Address SUITE 2
Marker Of Address Line 2 Suppression
City AFFTON
State MO
Zip Code 631236955
Phone Number 3148424929
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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