Individual
GAGE MICHAEL SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 NE BARRY RD, KANSAS CITY, MO 64155-2724
(816) 436-5600
Mailing address
8410 N AVA AVE, KANSAS CITY, MO 64154-1890
(816) 520-1868
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2024012684
MO
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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