Organization
MISSOURI EM-I MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H GATEWOOD (PRESIDENT)
(800) 732-1066
Entity
Organization
Contact information
Practice address
1301 1ST ST, KENNETT, MO 63857-2525
(573) 888-4522
Mailing address
PO BOX 37637, PHILADELPHIA, PA 19101-7637
(800) 355-3818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
MO
Other
Enumeration date
05/04/2007
Last updated
02/18/2008
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