Individual
DR. RICHARD W. GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 S FILLMORE ST, OSCEOLA, IA 50213-1619
(641) 342-2184
(800) 305-3233
Mailing address
5957 F48 WEST, NEWTON, IA 50208
(641) 792-4385
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02001
IA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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