Individual
ALEXIS K. GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-4231
(802) 888-8203
Mailing address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-4231
(802) 888-8203
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2264
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2264
PA LICENSE #
MA
Enumeration date
11/21/2006
Last updated
07/23/2014
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