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Individual

TIMOTHY BRYAN GATELEY

Active
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Individual

TIMOTHY BRYAN GATELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
2005012032
MO
213ES0000X
Sports Medicine Podiatrist
KS 12-00349
KS
213ES0131X
Foot Surgery Podiatrist
Primary
12-00349
KS
213ES0131X
Foot Surgery Podiatrist
2005012032
MO

Other

Enumeration date
06/11/2006
Last updated
04/20/2022
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