Gateway Direct Primary Care Jv LLC
NPI #1548893530 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1548893530
- Entity Type
- Organization
- Organization Name
- Gateway Direct Primary Care Jv LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 18, 2020
- Last Updated
- Jul 28, 2022
Practice Location
- Address
- 11770 OLIVE BLVD
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-7053
- Phone
- (866) 808-6005
Authorized Official
- Name
- JILL JOHNSON PATTON
- Title
- DIRECTOR OF RISK MANAGEMENT
- Phone
- (704) 936-5546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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