Healthcare Provider Details

I. General information

NPI: 1013827252
Provider Name (Legal Business Name): ALEXANDER CAMPBELL DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 BAYLESS AVE
SAINT LOUIS MO
63123-7513
US

IV. Provider business mailing address

511 GOLFWOOD DR
BALLWIN MO
63021-6316
US

V. Phone/Fax

Practice location:
  • Phone: 314-544-5600
  • Fax:
Mailing address:
  • Phone: 520-501-0095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2026004253
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: