-- TIM B GANNON P.A. ⚕️ New Mexico 1780992024

NPI	1780992024
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	363AM0700X Physician Assistant, Medical (Licence: NM PA2010-0058)
Enumeration Date	2010-09-21
Last Update Date	2013-10-08

-- TIM B GANNON P.A.

3450 ZAFARANO DR SUITE C

SANTA FE, NM 87507-2669

Phone number: 505-466-5885

-- TIM B GANNON P.A.

3450 ZAFARANO DR SUITE C

SANTA FE, NM 87507-2669

Phone number: 505-466-5885