Individual provider · Type 1 NPI
Alexandra Louise Gannon, MD
Reproductive Endocrinology Physician · Fair Oaks, VA
NPI number
1922495639
Active
Practice location
12011 Lee Jackson Memorial Highway, Suite 302
Fair Oaks, VA 22033
Fax (855) 473-0122
Mailing address
9600 Blackwell Rd Ste 500
Rockville, MD 20850-3783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Reproductive Endocrinology Physician Primary | 207VE0102X | 0101275640 (VA) |
Reproductive Endocrinology Physician: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
About NPI 1922495639
Alexandra Louise Gannon, MD's National Provider Identifier is 1922495639, issued on Apr 20, 2015. The primary taxonomy on file is Reproductive Endocrinology Physician (207VE0102X), and the practice location is in Fair Oaks, VA. The record was last updated on Jul 18, 2024.