Individual
GERALDINE GANNON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 470-5043
(602) 470-5064
Mailing address
3255 E ELWOOD ST, #110, PHOENIX, AZ 85034-7256
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
20335
AZ
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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