Gateway Direct Primary Care Jv LLC

NPI #1154970127 in Chesterfield, Missouri

Provider Information

NPI Number: 1154970127
Entity Type: Organization
Organization Name: Gateway Direct Primary Care Jv LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 11, 2019
Last Updated: Jul 28, 2022

Practice Location

Address: 1574 WOODLAKE DR
City: Chesterfield
State: Missouri
ZIP Code: 63017-5712
Phone: (866) 808-6005

Authorized Official

Name: JILL JOHNSON PATTON
Title: DIRECTOR OF RISK MANAGEMENT
Phone: (704) 936-5546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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