person
Jeffrey Gagnon, PA
Surgical Physician Assistant in Waterville, Maine
NPI 1811137888

Jeffrey Gagnon is a Surgical Physician Assistant based in Waterville, ME and is specialized in Surgical. Jeffrey Gagnon practices in Waterville, ME and has the professional credentials of PA. The NPI Number for Jeffrey Gagnon is 1811137888 and holds a License No. PA001156 (Maine).

The current practice location address for Jeffrey Gagnon is 180 Kennedy Memorial Dr, Waterville, ME and can be reached out via phone at 207-861-7874 and via fax at 207-861-4646.

Location: 180 Kennedy Memorial Dr, Waterville, ME, 04901-4540
person
Provider Profile Details
NPI Number
1811137888
Provider Name
Jeffrey Gagnon
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
180 Kennedy Memorial Dr, Waterville, ME, 04901-4540
Phone Number
207-861-7874
Fax Number
207-861-4646
Provider Enumeration Date
03/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA001156 01 ME STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
180 Kennedy Memorial Dr
City
State
Zip
04901-4540
Phone Number
207-861-7874
Fax Number
207-861-4646
person
Provider Business Mailing Address Details
Address
180 Kennedy Memorial Dr
City
State
Zip
04901-4540
Phone Number
207-861-7874
Fax Number
207-861-4646
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA001156 (Maine)
Definition
Definition to come...
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