Individual
DR. REYNALDO TIONGSON GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 WAYNE ST, JOHNSTOWN, PA 15905-2338
(814) 535-6312
(812) 535-5136
Mailing address
510 WAYNE ST, JOHNSTOWN, PA 15905-2338
(814) 535-6312
(812) 535-5136
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
031303-L
PA
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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