Individual provider · Type 1 NPI

Avery Gatewood

Electroneurodiagnostic Specialist/Technologist · San Antonio, TX

NPI number 1225425689 Active

Practice location

1141 N Loop 1604 E # 105-446
San Antonio, TX 78232-1339

Mailing address

3206 Hilltop Ave
Muskogee, OK 74403-7764

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1225425689

Avery Gatewood's National Provider Identifier is 1225425689, issued on Apr 22, 2015. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in San Antonio, TX. The record was last updated on Oct 8, 2018.