Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY GAGNON, PA
ActiveJEFFREY GAGNON, PA is a Surgical Physician Assistant healthcare provider located in WATERVILLE, Maine. NPI 1811137888 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WATERVILLE, ME
Registration Details
- NPI Number
- 1811137888
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2009 (17.425804268578 yrs)
- Last Updated
- Mar 3, 2009
- License
-
PA001156 (ME)
Practice Information
- Address
-
180 KENNEDY MEMORIAL DRSUITE 101WATERVILLE, ME, 049014540Browse ME providers · Browse ZIP 04901
- Phone
- 2078617874
- Fax
- 2078614646
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
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.