Patrick Lawrence Gannon O.D.

NPI 1043264930 - Optometrist - 152W00000X

NPI Details
NPI 1043264930
Gender Male
Enumeration Date 05/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7205 MILLS CIVIC PKWY
WEST DES MOINES IA, 50266-8140, US
Phone (515) 222-2924
Fax
Business Location
7205 MILLS CIVIC PKWY
WEST DES MOINES IA, 50266-8140, US
Phone (515) 222-2924
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Iowa
License Number 02274
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According to our database, Dr. Patrick Lawrence Gannon O.D. NPI is 1043264930, taxonomy code is 152W00000X and license number is 02274, license state is located at Iowa. Patrick Lawrence Gannon O.D. physically located at 7205 Mills Civic Pkwy, West Des Moines IA, 50266-8140. NPI Number Patrick Lawrence Gannon O.D. has the Individual type.

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1043264930 NPI number is provided on an as is basis without warranty of any kind. 1043264930 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Lawrence Gannon O.D. are for informational purposes only.