Individual
GEORGE R GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2 S SILVER ST, PAOLA, KS 66071-1469
(913) 294-2300
(913) 294-2302
Mailing address
2 S SILVER ST, PAOLA, KS 66071-1469
(913) 294-2300
(913) 294-2302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1033-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090930A
—
KS
Enumeration date
02/27/2006
Last updated
12/10/2013
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