Individual
ALLISON GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12200 WEBER HILL RD STE 100, SAINT LOUIS, MO 63127-1599
(314) 698-2500
Mailing address
12200 WEBER HILL RD STE 100, SAINT LOUIS, MO 63127-1599
(314) 698-2500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2012001657
MO
363LA2200X
Adult Health Nurse Practitioner
A1211046
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205106291
—
MO
Enumeration date
01/06/2012
Last updated
03/05/2018
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