OrganizationActive
Gateway Iom, LLC
NPI 1467808667 · Clinical Neurophysiology Physician · Saint Louis, MO
Provider details
- NPI number
- 1467808667
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Josue Gabriel, Managing Member(464) 627-1335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Electrodiagnostic Medicine Physician204R00000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Technologists, Technicians & Other Technical Service Providers
Practice location
4579 Laclede Ave # 446
Saint Louis, MO 63108-2103
Phone: (314) 627-1335
Approximate (ZIP-level) locationGet directions
Mailing address
4579 Laclede Ave # 446
Saint Louis, MO 63108-2103
Registry dates
- Enumerated
- 2016-05-06
- Last updated
- 2016-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.