| NPI | 1508494543 |
|---|---|
| Doing Business As | GATEWAY ENT |
| Entity Type | Organization |
| Authorized Contact | SCOTT HARDEMAN Physician 314-616-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-30 |