Individual
JERRY GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 ORCHARD AVE, SUITE G, GRAND JUNCTION, CO 81501-2997
(970) 243-8328
Mailing address
1060 ORCHARD AVE, SUITE G, GRAND JUNCTION, CO 81501-2997
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
32735
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01327352
—
CO
Enumeration date
07/26/2006
Last updated
08/30/2007
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