Organization
MISSOURI EM-I MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H GATEWOOD M.D. (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(800) 355-0808
(610) 834-2862
Mailing address
PO BOX 98544, LAS VEGAS, NV 89193
(800) 355-0808
(610) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/02/2011
Last updated
03/13/2012
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