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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GAVIN HAGE

Active Sole Proprietor

GAVIN HAGE is a Community/Behavioral Health healthcare provider located in FAIRBANKS, Alaska. NPI 1053952960 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · FAIRBANKS, AK

Registration Details

NPI Number
1053952960
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2019 (6.8319838391044 yrs)
Last Updated
Oct 2, 2019
Sole Proprietor
Yes

Practice Information

Address
3101 LATHROP ST
FAIRBANKS, AK, 997017426
Browse AK providers · Browse ZIP 99701
Phone
9074594700
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in FAIRBANKS, AK

Name Credential NPI
MS. BELINDA LINDSEY TRAINER-JOHNSON M.E.D. 1285865881
WANDA SUE NAFFZIGER 1669763579
AUBREY FELICIA BIFELT 1225621766
SONJA METHA SAGER 1174405153
DAMEKA MOSS 1386527125
ERIK JAMES SETTERBERG 1750265096
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.