Organization
EAST FORK EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H GATEWOOD M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-2131
(618) 392-3228
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2010
Last updated
02/07/2014
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