Joe M. Gannon, M.d. a Professional Medical Corp

NPI #1124001755 in New Roads, Louisiana

Provider Information

NPI Number: 1124001755
Entity Type: Organization
Organization Name: Joe M. Gannon, M.d. a Professional Medical Corp
Primary Specialty: Ophthalmology
Enumeration Date: Nov 29, 2005
Last Updated: May 12, 2021

Practice Location

Address: 230 ROBERTS DR
Address 2: SUITE J
City: New Roads
State: Louisiana
ZIP Code: 70760-2661
Phone: (225) 718-3764

Authorized Official

Name: DR. JOE MCALAN GANNON, M.D.
Title: PRESIDENT
Phone: (225) 718-3764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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