IndividualActive
Matthew Gannon, MD
NPI 1285163246 · Hospice and Palliative Medicine (Internal Medicine) Physician · Phoenix, AZ
Provider details
- NPI number
- 1285163246
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 60565 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
500 W Thomas Rd Ste 600
Phoenix, AZ 85013-4221
Phone: (602) 406-4433
Fax: (602) 512-6545
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 33269
Phoenix, AZ 85067-3269
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2021-08-19
- Certified
- 2021-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.