Individual
ROBERT G GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1701 E MADISON AVE, STE A, DERBY, KS 67037-2079
(316) 788-3713
(316) 788-3231
Mailing address
1701 E MADISON AVE, STE A, DERBY, KS 67037-2079
(316) 788-3713
(316) 788-3231
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10-3389
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007277
BLUE CROSS BLUE SHIELD
KS
Enumeration date
02/22/2006
Last updated
11/01/2007
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