Peter Gannon, MD

NPI 1275560286 · on the registry since 2006 · sole proprietor

Practice

Address: 545 E Cleveland St
Suite B
Stockton, CA 95204
Phone: (209) 948-0205
Fax: (209) 948-0245
Organisation at this address: Rai Care Centers Of Northern California I, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-08-04

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