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Provider Profile

Blaze R. Gannon, PA-C

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At a glance

About Blaze Gannon

Blaze R. Gannon, PA-C is a physician assistant practicing in Colton, CA. This provider record is associated with NPI 1588764245.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

CA licenceAs reported to the NPI registry
No. PA18462As reported
NPINational Provider Identifier
1588764245Issued 2006

As reported to the NPI registry ↗

Common questions

What kind of doctor is Blaze R. Gannon?

Blaze R. Gannon is a physician assistant in Colton, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Blaze R. Gannon's address?

Blaze R. Gannon is listed at 400 N Pepper Ave Orthopaedic Admin, Colton, CA 92324. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Blaze R. Gannon?

The number on file is (909) 580-6330. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Blaze R. Gannon?

Blaze R. Gannon's National Provider Identifier is 1588764245. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Blaze R. Gannon have?

Blaze R. Gannon has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Blaze R. Gannon's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Blaze R. Gannon. If this is you, claiming it is free.

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.

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