SearchArizona207RH0002X

Matthew Gannon, MD

NPI 1285163246 · on the registry since 2017 · sole proprietor

Practice

Address
500 W Thomas Rd Ste 600
Phoenix, AZ 85013
Phone
(602) 406-4433
Fax
(602) 512-6545
Organisation at this address
Dignity Health
Pwi Development Llc
Brian Daniels Dds Pc
Everside Health Phoenix
Adelante Healthcare, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
408

Registry record

Primary taxonomy
207RH0002X
207RH0002X
Also registered as
207R00000X
Licence states on file
AZ, IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-19

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 Arizona