Individual provider · Type 1 NPI

Peter Gannon, MD

Specialist · Stockton, CA

NPI number 1275560286 Active

Practice location

545 E Cleveland St, Suite B
Stockton, CA 95204-5535

Call (209) 948-0205 Map

Fax (209) 948-0245

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG25472 (CA)

Specialist: 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.

Another provider at this address

Other specialist providers in Stockton

See all in Stockton →

About NPI 1275560286

Peter Gannon, MD's National Provider Identifier is 1275560286, issued on Jun 26, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Stockton, CA. The record was last updated on Aug 4, 2010.