| NPI | 1649749052 |
|---|---|
| Doing Business As | GATEWAY IMMEDIATE CARE |
| Entity Type | Organization |
| Authorized Contact | STEVEN LONG CEO 317-468-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2019-06-25 |