Individual
DR. HEATHER DAWN GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-116372
IL
207RC0000X
Cardiovascular Disease Physician
Primary
P1304
TX
Other
Enumeration date
12/15/2006
Last updated
06/06/2018
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