Roger R Gagnon, O.D.

NPI #1124128913 in South Portland, Maine

Provider Information

NPI Number: 1124128913
Entity Type: Individual
Name: Roger R Gagnon, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 22, 2006
Last Updated: Jan 26, 2010

Practice Location

Address: 510 MAINEMALL RD.
City: South Portland
State: Maine
ZIP Code: 04106
Phone: (207) 775-2030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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