Organization
GATEWAY REGENERATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CRITTENDEN (AUTHORIZED OFFICIAL)
(314) 384-3600
Entity
Organization
Contact information
Practice address
456 N NEW BALLAS RD STE 101, SAINT LOUIS, MO 63141-6850
(314) 384-3600
Mailing address
456 N NEW BALLAS RD STE 101, SAINT LOUIS, MO 63141-6850
(314) 520-9315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
05/04/2023
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