Individual
DR. ROGER CRAIG GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9300 DEWITT LOOP, RIVER PALVILON 2ND FLOOR R2.102, FORT BELVOIOR, VA 22060-0003
(571) 231-1337
Mailing address
7530 REPUBLIC CT, APT 301, ALEXANDRIA, VA 22306-7530
(605) 360-4945
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
665
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7602650
—
SD
Enumeration date
12/05/2006
Last updated
09/08/2011
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