Patrick Russell Gannon, MD
Orthopaedic Surgery in McAlester, OK. Individual provider (NPI-1).
NPI number1790747426
StatusActive
Last updated in NPPESJan 29, 2018
Details
- NPI
- 1790747426
- Entity type
- Individual (NPI-1)
- Name
- Patrick Russell Gannon
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2006
- Last updated
- Jan 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 20652 | OK | Yes |
Practice location
1 E Clark Bass BlvdSuite 210
McAlester, OK 74501-4209
Phone 918-421-6987 · Fax 918-421-6698
Mailing address
1245 S Utica AveFl 2
Tulsa, OK 74104-4214
Phone 918-579-2300 · Fax 918-579-2309
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Orthopaedic Surgery Physician providers in McAlester, OK
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.