Organization
MATTHEW R. GAGE, D.C.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW R. GAGE (PRESIDENT)
(316) 788-3713
Entity
Organization
Contact information
Practice address
1701 E MADISON AVE, STE A, DERBY, KS 67037-3000
(316) 788-3713
(316) 788-3231
Mailing address
1701 E MADISON AVE, STE A, DERBY, KS 67037-3000
(316) 788-3713
(316) 788-3231
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-033389
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007277
BLUE CROSS BLUE SHIELD
KS
01
—
062064
BLUE CROSS BLUE SHIELD
KS
01
—
8196
PREFERRED HEALTH SYSTEMS
KS
01
—
N612
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
09/16/2005
Last updated
10/15/2018
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