Organization
GATEWAY DIGESTIVE AND LIVER SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL A MONTEMAYOR (OFFICE MANAGER)
(314) 454-6903
Entity
Organization
Contact information
Practice address
4510 DELMAR BLVD, SAINT LOUIS, MO 63108-1702
(314) 454-6903
(314) 454-6652
Mailing address
4510 DELMAR BLVD, SAINT LOUIS, MO 63108-1702
(314) 454-6903
(314) 454-6652
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
107492
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208107912
—
MO
01
—
DC2409
RR MEDICARE
MO
Enumeration date
03/15/2007
Last updated
07/08/2016
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