Provider Demographics
NPI:1194995191
Name:GADDIE, CHRISTOPHER ANDREW II (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ANDREW
Last Name:GADDIE
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6841 GRAVOIS AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63116-1162
Mailing Address - Country:US
Mailing Address - Phone:314-353-4357
Mailing Address - Fax:314-353-2028
Practice Address - Street 1:6841 GRAVOIS AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63116-1162
Practice Address - Country:US
Practice Address - Phone:314-353-4357
Practice Address - Fax:314-353-2028
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011096111N00000X
MO2008001512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor