# GATEWAY WOMENS HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588825731
- **Authorized official:** AMY ELLIOTT (ACCOUNT MANAGER)
- **Authorized official phone:** (314) 878-2944

## Contact information

- **Practice address:** 1035 BELLEVUE AVE, SUITE 105, SAINT LOUIS, MO 63117-1854
- **Practice address phone:** (314) 725-4359
- **Practice address fax:** (314) 721-4597
- **Mailing address:** PO BOX 78638, SAINT LOUIS, MO 63178-8638
- **Mailing address phone:** (314) 725-4359
- **Mailing address fax:** (314) 721-4567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 100729 | MO | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 08/20/2008
