NPI 1578928628

Gagnon Plastic and Reconstructive Surgery

Organisation Plastic Surgery Physician Wasilla, AK

Practice location

Address: 950 E Bogard Rd Suite 209, Wasilla, AK 99654-7184
Phone: (907) 357-4550
Fax: (907) 357-4552

Authorised official

Name: Elliott B Gagnon
Title: Owner
Phone: (707) 407-8726

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 104918 (AK)

Other Plastic Surgery providers in Alaska →

Registry record

NPI: 1578928628
Entity type: Organization
NPI issued: 16 Dec 2015
Record last updated: 19 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.