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Search › California › Physician Assistant

Blaze Gannon, PA-C

NPI 1588764245 · on the registry since 2006

Practice

Address
400 N Pepper Ave
Orthopaedic Admin
Colton, CA 92324
Phone
(909) 580-6330
Organisation at this address
Armc
Armc Csu
Lema Llc
Cep America
Cep America
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,527

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-02-08
Status
Not present in the most recent federal file

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