Robert Gannon

Specialist · Henderson, NV

Individual Active NPI

NPI number 1386018141

Practice location

1689 Sebring Hills Dr
Henderson, NV 89052-6930
Phone
(702) 703-9163
Fax
(702) 897-7554

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NPI record

NPI
1386018141
Entity type
Individual (Type 1)
Enumeration date
November 17, 2015
Last updated
November 17, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — —

Mailing address

PO Box 778060
Henderson, NV 89077-8060
Phone
(702) 703-9163
Fax
(702) 897-7554

About Robert Gannon

Robert Gannon is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1689 Sebring Hills Dr, Henderson, NV 89052-6930. The NPI number 1386018141 was assigned on November 17, 2015 and the record was last updated on November 17, 2015.

Frequently asked questions

What is the NPI number of Robert Gannon?

The NPI number is 1386018141.

What is the phone number of Robert Gannon?

The phone number listed for the practice location is (702) 703-9163.

Where is Robert Gannon located?

1689 Sebring Hills Dr, Henderson, NV 89052-6930.

What is the taxonomy code for Robert Gannon?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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