Individual
CAMILLE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 100 YEARPARTY CT # 80504, LONGMONT, CO 80504-8475
(303) 848-3800
Mailing address
220 WRIGHT ST APT 203, LAKEWOOD, CO 80228-1409
(715) 781-0949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CO
Other
Enumeration date
07/25/2024
Last updated
04/02/2026
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