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Organization

REND EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH H GATEWOOD M.D. (PRESIDENT)
(800) 732-1066
Entity
Organization

Contact information

Practice address
8 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(618) 241-8797
Mailing address
PO BOX 37684, PHILADELPHIA, PA 19101-0684
(800) 732-1066
(630) 941-4333

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
10/17/2007
Last updated
10/17/2007
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