Gannon Frederick Gill, PA

NPI #1972808327 in Tulsa, Oklahoma

Provider Information

NPI Number: 1972808327
Entity Type: Individual
Name: Gannon Frederick Gill, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 17, 2011
Last Updated: Oct 3, 2023

Practice Location

Address: 6475 S YALE AVE STE 200
City: Tulsa
State: Oklahoma
ZIP Code: 74136-7816
Phone: (918) 494-4460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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