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1437743556
GATEWAY DIRECT PRIMARY CARE JV LLC
SAINT PETERS, MO
NPI
1437743556
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Entity Type
Organization
Authorized Contact
JILL PATTON
Director Of Risk Management
704-936-5546
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-03-01
Last Update Date
2022-07-28
Business Address
GATEWAY DIRECT PRIMARY CARE JV LLC
5700 MEXICO RD STE 16
SAINT PETERS, MO 63376-1667
Phone number: 866-808-6005
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Mailing Address
GATEWAY DIRECT PRIMARY CARE JV LLC
1400 WEWATTA ST STE 350
DENVER, CO 80202-5553
Phone number:
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