Gateway Gastroenterology INC
NPI #1043250400 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1043250400
- Entity Type
- Organization
- Organization Name
- Gateway Gastroenterology INC
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 7, 2006
- Last Updated
- Apr 25, 2017
Practice Location
- Address
- 121 SAINT LUKES CENTER DR
- Address 2
- BLDG A STE. 406
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63017-3518
- Phone
- (314) 529-4900
Authorized Official
- Name
- MRS. JACKIE LYNN RASPBERRY
- Title
- OFFICE MANAGER
- Phone
- (314) 529-4925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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