Organization
GATEWAY ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTINA R STEED CRNA, PHD (OWNER/PRESIDENT/CEO)
(618) 530-4643
Entity
Organization
Contact information
Practice address
11 JENNIFER LN, COLLINSVILLE, IL 62234-6964
(618) 530-4643
Mailing address
11 JENNIFER LN, COLLINSVILLE, IL 62234-6964
(618) 530-4643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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