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Organization
GATEWAY DIRECT PRIMARY CARE JV LLC
Active
Organization
GATEWAY DIRECT PRIMARY CARE JV LLC
Active
Other names
Marathon Health- Creve Coeur MO- Olive Blvd, Gateway Direct Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
11770 OLIVE BLVD, CREVE COEUR, MO 63141-7053
(866) 808-6005
Mailing address
1400 WEWATTA ST STE 350, DENVER, CO 80202-5553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/18/2020
Last updated
09/17/2026
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