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Peter Gannon, MD
Specialist in Stockton, California
NPI 1275560286

Peter Gannon is a Specialist based in Stockton, CA. Peter Gannon practices in Stockton, CA and has the professional credentials of MD. The NPI Number for Peter Gannon is 1275560286 and holds a License No. G25472 (California).

The current practice location address for Peter Gannon is 545 E Cleveland St, Stockton, CA and can be reached out via phone at 209-948-0205 and via fax at 209-948-0245. You can also correspond with Peter Gannon through the mailing address at 545 E CLEVELAND ST, STOCKTON, CA - 95204-5535 (mailing address contact number: 209-948-0205).

Location: 545 E Cleveland St, Stockton, CA, 95204-5535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275560286
Provider Name
Peter Gannon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
545 E Cleveland St, Stockton, CA, 95204-5535
Phone Number
209-948-0205
Fax Number
209-948-0245
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
545 E Cleveland St
City
Stockton
State
California
Zip
95204-5535
Phone Number
209-948-0205
Fax Number
209-948-0245
person
Provider Business Mailing Address Details
Address
545 E Cleveland St
City
Stockton
State
California
Zip
95204-5535
Phone Number
209-948-0205
Fax Number
209-948-0245
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G25472 (California)
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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