Individual provider · Type 1 NPI

Samuel Gagnon, PA-C

Physician Assistant · South Portland, ME

NPI number 1407121932 Active

Practice location

265 Western Ave Ste 2
South Portland, ME 04106-2458

Call (207) 661-0200 Map

Fax (207) 661-0299

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA1456 (ME)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407121932

Samuel Gagnon, PA-C's National Provider Identifier is 1407121932, issued on Mar 16, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Portland, ME. The record was last updated on Jun 14, 2021.