Provider Demographics
NPI:1881842540
Name:ANDEL, ROBERT FRANCIS III (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANCIS
Last Name:ANDEL
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1660 STACY LN
Mailing Address - Street 2:
Mailing Address - City:ROBERTSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63072-1819
Mailing Address - Country:US
Mailing Address - Phone:314-479-2579
Mailing Address - Fax:
Practice Address - Street 1:11901 SAINT CHARLES ROCK RD
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2623
Practice Address - Country:US
Practice Address - Phone:314-298-1400
Practice Address - Fax:314-298-1401
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008027070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor