GATEWAY IOM LLC NPI 1467808667

NPI Information

GATEWAY IOM, LLC is a clinical neurophysiology psychiatry neurology in Saint Louis, MO. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). GATEWAY IOM, LLC NPI is 1467808667. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4579 LACLEDE AVE # 446
SAINT LOUIS, MO
ZIP 63108-103
Phone: (314) 627-1335

The provider's authorized official is Josue Gabriel .
The authorized official title is Managing Member and has the following contact phone number (464) 627-1335.

The enumeration date for this NPI number is 5/6/2016 and was last updated on 11/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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