DR. Jeremiah Gagnon, OD

NPI #1407549207 in Sandpoint, Idaho

Provider Information

NPI Number: 1407549207
Entity Type: Individual
Name: DR. Jeremiah Gagnon, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 30, 2023
Last Updated: Jun 12, 2023

Practice Location

Address: 710 W SUPERIOR ST STE B
City: Sandpoint
State: Idaho
ZIP Code: 83864-1684
Phone: (208) 263-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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