Doctor Name: | RONALD JOSEPH GAGNE |
NPI Number: | 1588914436 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD.12831R |
Business Practice Address: | 1022 Toulouse St Unit Bc-1 New Orleans, LA - 701123479 |
Business Phone Number: | 5045589673 |
Business Fax Number: | 5045589673 |
Mailing Address: | 1022 Toulouse St, Unit Bc-1 NEW ORLEANS |
State: | LA |
Postal Code: | 701123479 |
Phone Number: | 5045589673 |
Fax Number: | 5045589673 |
NPI Enumeration Date: | 09/18/2012 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD.12831R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |