Individual provider · Type 1 NPI

Camille Gannon

Physician Assistant · Longmont, CO

NPI number 1003644428 Active

Practice location

2017 100 Yearparty Ct # 80504
Longmont, CO 80504-8475

Mailing address

220 Wright St Apt 203
Lakewood, CO 80228-1409

Other practice locations

  • 3601 Arapahoe Ave Unit D176, Boulder, CO 80303-1310 · (303) 848-3800

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: 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, orde…

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About NPI 1003644428

Camille Gannon's National Provider Identifier is 1003644428, issued on Jul 25, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Longmont, CO. The record was last updated on Apr 2, 2026.