NPI 1053303024

Charles Sanford Gannon, MD

Practitioner Ophthalmology Physician Tucson, AZ

Practice location

Address: 1645 N. Alvernon Way #1, Tucson, AZ 85712
Phone: (520) 881-7474
Fax: (520) 881-0676
Mailing address: 1645 N. Alvernon Way #1, Tucson, AZ 85712-3353

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 6156 (AZ)

Other Ophthalmology providers in Arizona →

Registry record

NPI: 1053303024
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2005
Record last updated: 3 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.