Organization
GATEWAY CARDIOVASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WJ ORR DC (PRESIDENT)
(573) 701-4213
Entity
Organization
Contact information
Practice address
507 W PINE ST, FARMINGTON, MO 63640-1439
(573) 631-0994
Mailing address
507 W PINE ST, FARMINGTON, MO 63640-1439
(573) 631-0994
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
02/05/2021
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