Search › California › 363A00000X
Gannon Nyquist, PA-C
NPI 1134793169 · on the registry since 2021
Practice
- Address
- 1310 Club Dr
Vallejo, CA 94592 - Phone
- (707) 638-5809
- Organisation at this address
- Touro University
Touro University CaliforniaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 238
Additional practice sites
- 827 Spring St, Medford, OR
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California