Individual
DR. PAUL GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
6100 219TH ST SW STE 480, MOUNTLAKE TERRACE, WA 98043-2222
(212) 390-1560
Mailing address
7600 SPRING AVE, ELKINS PARK, PA 19027-3056
(305) 491-9209
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT00001001
WA
Other
Enumeration date
10/23/2020
Last updated
08/24/2023
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