MARC J GANNON OD

Dr MARC J GANNON OD is a male medical professional, specializing in Optometry. He graduated in 1976 from Illinois College Of Optometry At Chicago.

Contact

1540 E COMMERCIAL BLVD
SUITE 102
OAKLAND PARK
FL
333345752

Tel:

MARC J GANNON OD Information

Npi 1841286424
Pac Id 6103897327
Professional Enrollment Id I20040803000103
Last Name GANNON
First Name MARC
Middle Name J
Suffix
Gender M
Credential OD
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1976
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1540 E COMMERCIAL BLVD
Line 2 Street Address SUITE 102
Marker Of Address Line 2 Suppression
City OAKLAND PARK
State FL
Zip Code 333345752
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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