GATEWAY GERIATRIC SERVICES LLC
Osteopathic Medicine at Conway Rd, Saint Louis, MO

License number
Missouri 2005019644
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: SHAILAJA PULISETTY M.D.
Title: PHYSICIAN/PRESIDENT
Phone: (314) 225-6015
Address
Address
12026 Conway Rd, Saint Louis, MO 63131
National Provider ID: 1114219417
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Gateway Geriatric Services LLC

12026 Conway Rd, Saint Louis, MO 63131

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments

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