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Individual

DR. GAGE JAMES BUNESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 233-7880
Mailing address
3504 E CLAREMONT AVE, PARADISE VALLEY, AZ 85253-3749
(602) 448-0194

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.086678
IL
208600000X
Surgery Physician
Primary
T-5523
MS

Other

Enumeration date
04/23/2024
Last updated
03/23/2026
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