Individual
DAGAN M CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17 RIVERSIDE ST, SUITE 101, NASHUA, NH 03062-1304
(603) 883-0091
(603) 881-3739
Mailing address
17 RIVERSIDE ST, SUITE 101, NASHUA, NH 03062-1304
(603) 883-0091
(603) 881-3739
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0638
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0638
NEW HAMPSHIRE STATE LIC.
NH
Enumeration date
08/22/2007
Last updated
12/15/2023
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