Organization
GATEWAY PSYCHIATRIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON ROBINSON M.D. (OWNER)
(314) 567-1958
Entity
Organization
Contact information
Practice address
11710 OLD BALLAS RD, SUITE 110, CREVE COEUR, MO 63141-7076
(314) 567-1958
(314) 567-0037
Mailing address
11710 OLD BALLAS RD, SUITE 110, CREVE COEUR, MO 63141-7076
(314) 567-1958
(314) 567-0037
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
100250
MO
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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