Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK RUSSELL GANNON, MD
ActivePATRICK RUSSELL GANNON, MD is a Orthopaedic Surgery healthcare provider located in MCALESTER, Oklahoma. NPI 1790747426 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · MCALESTER, OK
Registration Details
- NPI Number
- 1790747426
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2006 (20.384755514618 yrs)
- Last Updated
- Jan 29, 2018
- License
-
20652 (OK)
Practice Information
- Address
-
1 E CLARK BASS BLVDSUITE 210MCALESTER, OK, 745014209Browse OK providers · Browse ZIP 74501
- Phone
- 9184216987
- Fax
- 9184216698
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
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.