Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER GANNON, MD
Active Sole ProprietorPETER GANNON, MD is a Specialist healthcare provider located in STOCKTON, California. NPI 1275560286 is currently active in the NPPES registry. Verify at CMS.
Specialist · STOCKTON, CA
Registration Details
- NPI Number
- 1275560286
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2006 (20.123305697801 yrs)
- Last Updated
- Aug 4, 2010
- License
-
G25472 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
545 E CLEVELAND STSUITE BSTOCKTON, CA, 952045535Browse CA providers · Browse ZIP 95204
- Phone
- 2099480205
- Fax
- 2099480245
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE MARIE DENTONI | M.D. | 1821099888 |
| LYNETTE C HART | MD | 1639154438 |
| MRS. KALA SWAMYNATHAN | M.D. | 1427029768 |
| DR. PHILIP A EDINGTON | M.D. | 1508837279 |
| GREGORY WILLIAM BENSCH | M.D. | 1710950589 |
| GEORGE WM. BENSCH | M.D. | 1508839457 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.