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Organization

GATEWAY DIRECT PRIMARY CARE JV LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization

Contact information

Practice address
5700 MEXICO RD STE 16, SAINT PETERS, MO 63376-1667
(866) 808-6005
Mailing address
1400 WEWATTA ST STE 350, DENVER, CO 80202-5553

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/01/2021
Last updated
07/28/2022
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