TIM B GANNON

SANTA FE, NM
NPI1780992024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NM  PA2010-0058)
Enumeration Date2010-09-21
Last Update Date2026-03-26
Business Address
TIM B GANNON P.A.
649 HARKLE RD STE E
SANTA FE, NM 87505-4765
Phone number: 505-955-9454
Mailing Address
TIM B GANNON P.A.
PO BOX 6880
SANTA FE, NM 87502-6880
Phone number: 505-955-9454
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