Patrick Russell Gannon is a Orthopedic Surgery Physician based in Tulsa, OK. Patrick Russell Gannon practices in Mcalester, OK and has the professional credentials of MD. The NPI Number for Patrick Russell Gannon is 1790747426 and holds a License No. 20652 (Oklahoma).
The current practice location address for Patrick Russell Gannon is 1 E Clark Bass Blvd, Mcalester, OK and can be reached out via phone at 918-421-6987 and via fax at 918-421-6698.
Identifier | Type | State | Issuer |
---|---|---|---|
74502A024 | 01 | OK | CHAMPUS |
G67583 | 01 | OK | STERLING OPTION 1 |
1000176970A | 05 | OK | |
731310891006 | 01 | OK | UNICARE |
1324230001 | 01 | OK | PALMETTO DME |
731310891028 | 01 | OK | TRICARE SOUTH |
0166707 | 01 | OK | UMWA |
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