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David Gannon Dpm LLC

NPI #1861415200 in Berlin, Maryland

Provider Information

NPI Number
1861415200
Entity Type
Organization
Organization Name
David Gannon Dpm LLC
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Jul 26, 2006
Last Updated
Nov 30, 2009

Practice Location

Address
9956 N MAIN ST
Address 2
SUITE #5
City
Berlin
State
Maryland
ZIP Code
21811-1077
Phone
(410) 629-0222

Authorized Official

Name
DR. DAVID GANNON, D.P.M.
Title
PODIATRIST/SOLE OWNER
Phone
(410) 629-0222

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery

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