Organization
GATEWAY GASTROENTEROLOGY INC
Active
Organization
GATEWAY GASTROENTEROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE LYNN RASPBERRY (OFFICE MANAGER)
(314) 529-4925
Entity
Organization
Contact information
Practice address
17298 N OUTER 40 RD STE 200, CHESTERFIELD, MO 63005-1456
(314) 529-4900
(314) 434-2679
Mailing address
17298 NORTH OUTER 40 RD STE 200, CHESTERFIELD, MO 63005-1456
(314) 529-4900
(314) 434-2679
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36578
MO
Other
Enumeration date
06/07/2006
Last updated
05/28/2026
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