Carl Gannon, PA
NPI #1053668335 in Everett, Washington
Provider Information
- NPI Number
- 1053668335
- Entity Type
- Individual
- Name
- Carl Gannon, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Aug 6, 2012
- Last Updated
- May 20, 2021
Practice Location
- Address
- 12800 BOTHELL EVERETT HWY
- City
- Everett
- State
- Washington
- ZIP Code
- 98208-6642
- Phone
- (425) 316-5180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Nurse Practitioner - Family — Family |
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