Cannon, Daniel

Cannon, Daniel is an individual health care provider with primary practice located at 1380 E Medical Center Dr , Saint George UT 84790-2123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cannon, Daniel can be contacted via phone (435) 251-2741.

Contact Information

Primary practice address
1380 E Medical Center Dr Saint George UT 84790-2123
Phone: (435) 251-2741
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49302 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11968682-1205 Utah

Profile Details

NPI number 1114213691
LBN Legal business name Cannon, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Oct 13th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114213691 NPPES
Arizona Other 49302 MEDICAL LICENSE
Arizona MEDICAID 701112 MEDICAL LICENSE

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