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Michelle Gordon-canning, PA
Medical Physician Assistant in Concord, California
NPI 1184637654

Michelle Gordon-canning is a Medical Physician Assistant based in Walnut Creek, CA and is specialized in Medical. Michelle Gordon-canning practices in Concord, CA and has the professional credentials of PA. The NPI Number for Michelle Gordon-canning is 1184637654 and holds a License No. PA17769 (California).

The current practice location address for Michelle Gordon-canning is 2700 Grant St # 319, Concord, CA and can be reached out via phone at 925-674-2880.

Location: 2700 Grant St # 319, Concord, CA, 94597-2168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184637654
Provider Name
Michelle Gordon-canning
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2700 Grant St # 319, Concord, CA, 94597-2168
Phone Number
925-674-2880
Fax Number
Provider Enumeration Date
08/14/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0PA177690 05 CA
institution
Provider Business Practice Location Address Details
Address
2700 Grant St # 319
City
Concord
State
California
Zip
94520-2266
Phone Number
925-674-2880
Fax Number
person
Provider Business Mailing Address Details
Address
2700 Grant St # 319
City
Concord
State
California
Zip
94520-2266
Phone Number
925-674-2880
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA17769 (California)
Definition
Definition to come...
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