Provider Demographics
NPI:1689428096
Name:TURNER, GAGE MATTHEW (PA)
Entity Type:Individual
Prefix:MR
First Name:GAGE
Middle Name:MATTHEW
Last Name:TURNER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 TYLER LN
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-6211
Mailing Address - Country:US
Mailing Address - Phone:740-457-8955
Mailing Address - Fax:
Practice Address - Street 1:28 TYLER LN
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-6211
Practice Address - Country:US
Practice Address - Phone:740-457-8955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant