Individual
DR. MATTHEW PHILIP GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 7TH ST BLDG 700, ROBINS AFB, GA 31098-2227
(478) 327-7758
(478) 327-7585
Mailing address
655 7TH ST BLDG 700, ROBINS AFB, GA 31098-2227
(478) 327-7758
(478) 327-7585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27554
NE
Other
Enumeration date
07/19/2012
Last updated
04/28/2022
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