person
Benjamin Morris Gannon
Student in an Organized Health Care Education/Training Program in Mitchell, South Dakota
NPI 1285171132

Benjamin Morris Gannon is a Student in an Organized Health Care Education/Training Program based in Mitchell, SD. Benjamin Morris Gannon practices in Mitchell, SD. The NPI Number for Benjamin Morris Gannon is 1285171132 and holds a License No. (South Dakota).

The current practice location address for Benjamin Morris Gannon is 1200 W University Ave # 604, Mitchell, SD and can be reached out via phone at 510-220-7760. You can also correspond with Benjamin Morris Gannon through the mailing address at 1200 W UNIVERSITY AVE # 604, MITCHELL, SD - 57301-4358 (mailing address contact number: 510-220-7760).

Location: 1200 W University Ave # 604, Mitchell, SD, 57301-4358
person
Provider Profile Details
NPI Number
1285171132
Provider Name
Benjamin Morris Gannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1200 W University Ave # 604, Mitchell, SD, 57301-4358
Phone Number
510-220-7760
Fax Number
Provider Enumeration Date
01/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1200 W University Ave # 604
City
State
Zip
57301-4358
Phone Number
510-220-7760
Fax Number
person
Provider Business Mailing Address Details
Address
1200 W University Ave # 604
City
State
Zip
57301-4358
Phone Number
510-220-7760
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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