Gage James Buness, DO Valid NPI

Individual provider · Family Medicine Physician · O Fallon, IL

NPI

1881449635

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

125.086678 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2024-04-23

Last updated

2026-03-23