Gavin Hage

NPI #1053952960 in Fairbanks, Alaska

Provider Information

NPI Number
1053952960
Entity Type
Individual
Name
Gavin Hage
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 2, 2019
Last Updated
Oct 2, 2019

Practice Location

Address
3101 LATHROP ST
State
Alaska
ZIP Code
99701-7426
Phone
(907) 459-4700

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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