Individual
MR. LANCE BUTLER GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., C.C.P.
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-5071
(520) 626-6339
Mailing address
4344 W TELLURITE DR, TUCSON, AZ 85745-4192
(520) 219-3822
(520) 219-3822
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
940094-0297
AZ
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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