Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID GANNON, DPM
Active Sole ProprietorDR. DAVID GANNON, DPM is a Podiatrist healthcare provider located in BERLIN, Maryland. NPI 1376521492 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · BERLIN, MD
Registration Details
- NPI Number
- 1376521492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2006 (20.627051031309 yrs)
- Last Updated
- Apr 5, 2019
- Licenses
-
E1-0000205 (DE)01311 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9956 N MAIN STSUITE #5BERLIN, MD, 218111077Browse MD providers · Browse ZIP 21811
- Phone
- 4106290222
- Fax
- 4106290225
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
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.