Organization
MOUND CITY INPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H. GATEWOOD M.D. (PRESIDENT / OWNER)
(214) 712-2472
Entity
Organization
Contact information
Practice address
2345 DOUGHERTY FERRY ROAD, ST. LOUIS, MO 63122
(314) 966-9100
Mailing address
1717 MAIN STREET, SUITE 5200, DALLAS, TX 75201-7365
(214) 712-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
06/27/2013
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