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Mr. Blaze Ryan Gannon, PA-C
Physician Assistant in Colton, California
NPI 1588764245

Blaze Ryan Gannon is a Physician Assistant based in Redlands, CA. Blaze Ryan Gannon practices in Colton, CA and has the professional credentials of PA-C. The NPI Number for Blaze Ryan Gannon is 1588764245 and holds a License No. PA18462 (California).

The current practice location address for Blaze Ryan Gannon is 400 N Pepper Ave, Colton, CA and can be reached out via phone at 909-580-6330.

Location: 400 N Pepper Ave, Colton, CA, 92374-9705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588764245
Provider Name
Blaze Ryan Gannon
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
400 N Pepper Ave, Colton, CA, 92374-9705
Phone Number
909-580-6330
Fax Number
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
909-580-6330
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
909-580-6330
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA18462 (California)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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