Organization
GOLDEN ARCH EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H GATEWOOD M.D. (PRESIDENT/GENERAL PARTNER)
(800) 732-1066
Entity
Organization
Contact information
Practice address
3933 S BROADWAY, SAINT LOUIS, MO 63118-4601
(314) 865-7000
(314) 865-7073
Mailing address
PO BOX 98757, LAS VEGAS, NV 89193-8757
(800) 732-1066
(630) 941-4333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191241
BLUE SHIELD
MO
Enumeration date
06/07/2006
Last updated
08/01/2013
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