Provider Demographics
NPI:1144430612
Name:GARRETTO, CHRISTINA A (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:A
Last Name:GARRETTO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:A
Other - Last Name:SLOWIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 502852
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-0001
Mailing Address - Country:US
Mailing Address - Phone:314-364-4990
Mailing Address - Fax:
Practice Address - Street 1:12348 OLD TESSON RD
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128
Practice Address - Country:US
Practice Address - Phone:314-272-2014
Practice Address - Fax:314-272-2170
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006018417207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine