Organization
GAGNON PLASTIC AND RECONSTRUCTIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT B GAGNON MD (OWNER)
(707) 407-8726
Entity
Organization
Contact information
Practice address
950 E BOGARD RD, SUITE 209, WASILLA, AK 99654-7184
(907) 357-4550
(907) 357-4552
Mailing address
950 E BOGARD RD, SUITE 209, WASILLA, AK 99654-7184
(907) 357-4550
(907) 357-4552
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
104918
AK
Other
Enumeration date
12/16/2015
Last updated
01/19/2016
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