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Individual
WILLIAM PATRICK SAGE
Active
Individual
WILLIAM PATRICK SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D6160
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126188501
—
TX
01
—
214881
GROUP MEDICARE PTAN
IL
01
—
4365757
AETNA
TX
01
—
84K502
BCBS
TX
Enumeration date
11/02/2005
Last updated
08/18/2016
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