Organization Name: | GARY W. CAGE MD, PA |
NPI Number: | 1770605552 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY W CAGE (OWNER) |
Mailing Address: | 70 Benchmark Road Suite 203 Avon |
State: | CO US |
Postal Code: | 81620 |
Phone Number: | 9708457872 |
Fax Number: | 9708457869 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 06/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 34904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |