Individual
MARK P. GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 BROOKS LANE, 170, JEFFERSON HILLS, PA 15025-3749
(412) 469-7110
(412) 469-8965
Mailing address
1200 BROOKS LANE, 170, JEFFERSON HILLS, PA 15025-3749
(412) 469-7110
(412) 469-8965
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD038841E
PA
Other
Enumeration date
06/17/2005
Last updated
10/05/2020
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