Organization
GATEWAY VASCULAR ACCESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET R. DEES MANAGING MEMBER (MANAGING MEMBER)
(727) 474-0090
Entity
Organization
Contact information
Practice address
13303 TESSON FERRY RD, SUITE 125, SAINT LOUIS, MO 63128-4062
(314) 541-3177
Mailing address
3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
(727) 474-0090
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
04/05/2018
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