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Individual

MATTHEW R. GAGE

Active
Sole proprietor

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 STE A, STE A, DERBY, KS 67037
(316) 788-3713
(316) 788-3231

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04870
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062064
BLUE CROSS BLUES SHIELD
KS
Enumeration date
02/23/2006
Last updated
07/08/2007
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