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Organization

GATEWAY MIDWEST HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AFFAN WAHEED (MEMBER)
(314) 336-0945
Entity
Organization

Contact information

Practice address
1034 S BRENTWOOD BLVD, SUITE 450, SAINT LOUIS, MO 63117-1223
(314) 833-6240
(314) 833-6237
Mailing address
1034 S BRENTWOOD BLVD, SUITE 450, SAINT LOUIS, MO 63117-1223
(314) 833-6240
(314) 833-6237

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2084P0800X
Psychiatry Physician

Other

Enumeration date
10/12/2015
Last updated
02/23/2023
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