Gagnon Plastic and Reconstructive Surgery

NPI #1578928628 in Wasilla, Alaska

Provider Information

NPI Number: 1578928628
Entity Type: Organization
Organization Name: Gagnon Plastic and Reconstructive Surgery
Primary Specialty: Plastic Surgery
Enumeration Date: Dec 16, 2015
Last Updated: Jan 19, 2016

Practice Location

Address: 950 E BOGARD RD
Address 2: SUITE 209
City: Wasilla
State: Alaska
ZIP Code: 99654-7184
Phone: (907) 357-4550

Authorized Official

Name: DR. ELLIOTT B GAGNON, MD
Title: OWNER
Phone: (707) 407-8726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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