Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD GAGNON, PA-C
ActiveCHAD GAGNON, PA-C is a Medical Physician Assistant healthcare provider located in SMITH RIVER, California. NPI 1568460665 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SMITH RIVER, CA
Registration Details
- NPI Number
- 1568460665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2005 (21.088873232138 yrs)
- Last Updated
- Jul 16, 2007
- License
-
PA10396 (CA)
Practice Information
- Address
-
501 N INDIAN RDSMITH RIVER, CA, 955679509Browse CA providers · Browse ZIP 95567
- Phone
- 7074870215
- Fax
- 7074871304
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.