Organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Active
Parent organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Other names
Gateway Surgical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT JOSEPH MEDICAL FOUNDATION, INC
Authorized official
KANDI R REA (PHYSICIAN CREDENTIALING)
(606) 330-3404
Entity
Organization
Contact information
Practice address
250 FOXGLOVE DR, MT STERLING, KY 40353-9770
(859) 499-4141
(859) 498-6748
Mailing address
PO BOX 73652, CLEVELAND, OH 44193-0002
(606) 330-3404
(606) 330-3100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39020
KY
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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