Organization
GATEWAY SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM REINSEL MD (OWNER)
(314) 909-9669
Entity
Organization
Contact information
Practice address
3009 N BALLAS RD, SUITE 131 A, SAINT LOUIS, MO 63131-2322
(314) 993-6170
(314) 993-6169
Mailing address
PO BOX 31698, SAINT LOUIS, MO 63131-0698
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2003007554
MO
Other
Enumeration date
01/27/2006
Last updated
04/29/2009
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