| NPI | 1124224126 |
|---|---|
| Doing Business As | GATEWAY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY C BRYAN Owner Manager 480-840-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 35487) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2011-12-22 |