Gannon, Matthew Michael

Gannon, Matthew Michael is an sole proprietor health care provider with primary practice located at 500 W Thomas Rd Ste 600 , Phoenix AZ 85013-4221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Gannon, Matthew Michael can be contacted via phone (602) 406-4433.

Contact Information

Primary practice address
500 W Thomas Rd Ste 600 Phoenix AZ 85013-4221
Phone: (602) 406-4433
Fax: (602) 512-6545
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 60565 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R10852 Iowa

Profile Details

NPI number 1285163246
LBN Legal business name Gannon, Matthew Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2017
Last updated Aug 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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