SAMUEL GAGNON

SOUTH PORTLAND, ME
NPI1407121932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA1456)
Enumeration Date2012-03-16
Last Update Date2021-06-14
Business Address
SAMUEL GAGNON PA-C
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106-2458
Phone number: 207-661-0200
Mailing Address
SAMUEL GAGNON PA-C
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106-2458
Phone number: 207-661-0200