NPI 1134302433

Earl Anthony Gage, MD

Practitioner Plastic Surgery Physician Boise, ID

Practice location

Address: 100 E Idaho Street, Suite 303, Boise, ID 83712-6269
Phone: (314) 251-4772
Fax: (314) 251-5772

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence M-17141 (ID)

Other Plastic Surgery providers in Idaho →

Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 2012011130 (MO)

Registry record

NPI: 1134302433
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Dec 2007
Record last updated: 30 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.