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 |