Individual
DR. JEAN-PHILLIPPE GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2451 S AVENUE A STE C101, YUMA, AZ 85364-7360
(928) 336-1290
Mailing address
2575 W 24TH ST APT 128, YUMA, AZ 85364-6065
(506) 962-2176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1908R76444
AZ
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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