| Gateway Direct Primary Care Jv Llc | |
|
1574 Woodlake Dr Chesterfield MO 63017-5712 | |
| (866) 808-6005 | |
| Not Available |
| Full Name | Gateway Direct Primary Care Jv Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1574 Woodlake Dr, Chesterfield, Missouri |
| Authorized Official Name and Position | Jill Johnson Patton (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Contact | 7049365546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Direct Primary Care Jv Llc 1400 Wewatta St Ste 350 Denver CO 80202-5553 Ph: () - | Gateway Direct Primary Care Jv Llc 1574 Woodlake Dr Chesterfield MO 63017-5712 Ph: (866) 808-6005 |
| NPI Number | 1154970127 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154970127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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