Individual
ROBERT M GANNAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1135 116TH AVE NE, 560, BELLEVUE, WA 98004-4623
(425) 454-4768
(425) 462-8021
Mailing address
1135 116TH AVE NE, 560, BELLEVUE, WA 98004-4623
(425) 454-4768
(425) 462-8021
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
16481
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1165208
—
WA
01
—
96596
L & I
WA
Enumeration date
01/11/2006
Last updated
07/08/2007
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