Individual
MR. DAVID MICHAEL GANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
23 JOEL DRIVE, ATTN: AVIATION HEALTH CLINIC, FT CAMPBELL, KY 42223
(270) 798-8625
Mailing address
328 DUNBROOK DR, CLARKSVILLE, TN 37043-7415
(931) 217-8893
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027208
NCCPA
—
Enumeration date
10/23/2006
Last updated
07/08/2007
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