Peter Gannon is a Specialist in Stockton, California. Peter Gannon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peter Gannon is 1275560286. The last update date is 2010-08-04.
Peter Gannon's current location address is 545 E Cleveland St, Stockton, California. You can contact this provider via phone number 2099480205 and fax number 2099480245. The mailing address for Peter Gannon is 545 E Cleveland St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Gannon |
|---|---|
| Address | 545 E Cleveland St, Stockton, California |
| Phone Number | 2099480205 |
| Fax Number | 2099480245 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275560286 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2010-08-04 |
Provider Mailing Address Detail
| Address | 545 E Cleveland St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952045535 |
| Phone Number | 2099480205 |
| Fax Number | 2099480245 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G25472 |
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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. |
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Post Comment/ Review Below
What is the Peter Gannon's 1275560286?
The Peter Gannon's NPI (National Provider Identifier) Number is 1275560286. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Peter Gannon is physically located?
The Peter Gannon is situated at the following address: 545 E Cleveland St, Stockton, CA 952045535.
What is Peter Gannon's area of expertise and its corresponding taxonomy classification?
The Peter Gannon's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When did the Peter Gannon receive its 1275560286?
The Peter Gannon was issued its 1275560286 on 2006-06-26, which is the date when the organization was assigned this unique identifier.
When was the information regarding Peter Gannon most recently updated?
The details pertaining to the Peter Gannon, including its address, specialty, and other relevant information, were last refreshed on 2010-08-04.
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