Individual
DR. R WAYNE GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 N HWY 67, WOODLAND PARK, CO 80863
(303) 759-0854
(303) 759-0864
Mailing address
41 N HWY 67, WOODLAND PARK, CO 80863
(303) 759-0854
(303) 759-0864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22209
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1222090
—
CO
Enumeration date
05/05/2006
Last updated
10/30/2009
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