Individual
NICHOLAS PATRICK GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 OWENS ST, SAN FRANCISCO, CA 94158-2334
(415) 353-2808
Mailing address
500 PARNASSUS AVE # MU320W, SAN FRANCISCO, CA 94143-2203
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
A194103
CA
Other
Enumeration date
04/09/2019
Last updated
04/27/2025
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