Individual
TERESA L. GATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
(660) 826-1300
Mailing address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
(660) 826-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110869
MO
207Q00000X
Family Medicine Physician
E-7835
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196543003
—
AR
Enumeration date
06/01/2006
Last updated
06/18/2014
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