# GWENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gateway ENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508494543
- **Authorized official:** MR. SCOTT HARDEMAN MD (PHYSICIAN)
- **Authorized official phone:** (314) 616-1665

## Contact information

- **Practice address:** 9701 LANDMARK PARKWAY DR STE 201, SAINT LOUIS, MO 63127-1665
- **Practice address phone:** (314) 843-3828
- **Practice address fax:** (314) 843-3052
- **Mailing address:** 9701 LANDMARK PARKWAY DR STE 201, SAINT LOUIS, MO 63127-1665
- **Mailing address phone:** (314) 843-3828
- **Mailing address fax:** (314) 843-3052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2020
- **Last updated:** 03/30/2020