Organization Name: | GATEWAY FOOT & ANKLE, PC |
NPI Number: | 1326478561 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTONELLA GIBBS (OFFICE MANAGER) |
Mailing Address: | 1200 Brooks Ln Suite 160 Clairton |
State: | PA US |
Postal Code: | 150253747 |
Phone Number: | 4124058065 |
Fax Number: | 4124058067 |
NPI Enumeration Date: | 11/26/2013 |
NPI Last Update Date: | 11/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC006141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |