Daniel M Gannon in Bozeman - Adult Reconstructive Orthopaedic Surgery

Daniel M Gannon - NPI 1285616169

Daniel M Gannon is a Adult Reconstructive Orthopaedic Surgery in Bozeman, Montana. Daniel M Gannon practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Daniel M Gannon is 1285616169. The last update date is 2007-07-08.

Daniel M Gannon's current location address is 1450 Ellis St, Bozeman, Montana. You can contact this provider via phone number 4065870122 and fax number 4065875548. The mailing address for Daniel M Gannon is 1450 Ellis St, Bozeman, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Name Daniel M Gannon
Address 1450 Ellis St, Bozeman, Montana
Phone Number 4065870122
Fax Number 4065875548
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1285616169
Provider Enumeration Date 2005-11-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1450 Ellis St
City Bozeman
State Montana (MT)
Post Code 597158812
Phone Number 4065870122
Fax Number 4065875548

Provider's Primary Taxonomy Detail

Speciality Adult Reconstructive Orthopaedic Surgery
Taxonomy 207Xs0114X
Licence No 6358
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22139 MT --

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FAQs about Daniel M Gannon

What is the unique 10-digit identification code issued to Daniel M Gannon by the Centers for Medicare & Medicaid Services?

The Daniel M Gannon has been assigned the NPI (National Provider Identifier) 1285616169 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Daniel M Gannon's physical address?

The Daniel M Gannon is physically located at 1450 Ellis St, in the city of Bozeman, MT, with the postal code 597158812.

What is Daniel M Gannon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Daniel M Gannon's area of specialization is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Xs0114X.

On what date did the Daniel M Gannon receive the assignment of its 1285616169 from the Centers for Medicare & Medicaid Services?

The Daniel M Gannon was issued its 1285616169 by the Centers for Medicare & Medicaid Services on 2005-11-16.

As of what date were the details related to Daniel M Gannon most recently updated or revised?

The information pertaining to Daniel M Gannon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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