Search › Maine › 363A00000X
Samuel Gagnon, PA-C
NPI 1407121932 · on the registry since 2012
Practice
- Address
- 265 Western Ave Ste 2
South Portland, ME 04106 - Phone
- (207) 661-0200
- Fax
- (207) 661-0299
- Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine