Organization
GATEWAY DIRECT PRIMARY CARE JV LLC
Active
Other names
Gateway Direct Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
11770 OLIVE BLVD, CREVE COEUR, MO 63141-7053
(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
02/18/2020
Last updated
07/28/2022
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