Organization
GATEWAY WOMENS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIOTT (ACCOUNT MANAGER)
(314) 878-2944
Entity
Organization
Contact information
Practice address
1035 BELLEVUE AVE, SUITE 105, SAINT LOUIS, MO 63117-1854
(314) 725-4359
(314) 721-4597
Mailing address
PO BOX 78638, SAINT LOUIS, MO 63178-8638
(314) 725-4359
(314) 721-4567
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
100729
MO
Other
Enumeration date
06/20/2008
Last updated
08/20/2008
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