Organization
MISSOURI GATEWAY HEALTH, LLC
Active
Parent organization
ALLYALIGN HEALTH, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLYALIGN HEALTH, INC
Authorized official
KENNETH BRATTON (COO)
(804) 396-6412
Entity
Organization
Contact information
Practice address
10900 NUCKOLS RD, STE 110, GLEN ALLEN, VA 23060-9276
(804) 396-6412
(804) 482-2756
Mailing address
10900 NUCKOLS RD, SUITE 110, GLEN ALLEN, VA 23060-9276
(804) 396-6412
(804) 482-2756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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