Individual
DR. JOSEPH STILES GANNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2051 MARENGO ST # C2K100, LOS ANGELES, CA 90033-1352
(323) 409-6734
Mailing address
2051 MARENGO ST # C2K100, LOS ANGELES, CA 90033-1352
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A175918
CA
207P00000X
Emergency Medicine Physician
U1010
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
10/18/2024
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