Individual provider · Type 1 NPI

Alan Gagnon, PA-C

Surgical Physician Assistant · Richmond, VA

NPI number 1063674380 Active

Practice location

5875 Bremo Rd, Suite G-5
Richmond, VA 23226-1934

Fax (804) 287-7845

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X0284P (NH)
Surgical Physician Assistant Primary 363AS0400X0110003260 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1063674380

Alan Gagnon, PA-C's National Provider Identifier is 1063674380, issued on Jun 27, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Richmond, VA. The record was last updated on Jul 19, 2010.