Individual provider · Type 1 NPI
Jodi Gannon
Specialist · Paonia, CO
NPI number
1437570090
Active
Practice location
41278 Lamborn Mesa Rd
Paonia, CO 81428-6432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT.0012638 (CO) |
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.
Other specialist providers in Paonia
About NPI 1437570090
Jodi Gannon's National Provider Identifier is 1437570090, issued on Dec 30, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Paonia, CO. The record was last updated on Dec 30, 2013.