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Individual

RICHARD NORMAND GAGNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1315 HOSPITAL DR, SAINT JOHNSBURY, VT 05819-9210
(802) 748-5361
(802) 751-8271
Mailing address
PO BOX 905, SAINT JOHNSBURY, VT 05819-0905
(802) 748-5361
(802) 751-8271

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0420006788
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005454
VT
05
3072164
VT
Enumeration date
07/13/2006
Last updated
02/13/2015
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