Individual
GAGE MACKENZIE CHICHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2673 MEDICAL PARK DRIVE, BRIDGEPORT, WV 26330
(681) 342-1000
(681) 342-2277
Mailing address
2673 MEDICAL PARK DRIVE, BRIDGEPORT, WV 26330
(681) 342-1000
(682) 342-2277
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
85796
WV
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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