David L Gannon, M.D.

NPI #1003886128 in Rock Island, Illinois

Provider Information

NPI Number: 1003886128
Entity Type: Individual
Name: David L Gannon, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jan 23, 2006
Last Updated: Dec 28, 2007

Practice Location

Address: 2550 24TH ST
City: Rock Island
State: Illinois
ZIP Code: 61201-5304
Phone: (309) 793-4223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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