Cannon, George Hales

Cannon, George Hales is an individual health care provider with primary practice located at 360 E 4500 S Ste 4 , Salt Lake City UT 84107-4297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Cannon, George Hales can be contacted via phone (801) 266-0055.

Contact Information

Primary practice address
360 E 4500 S Ste 4 Salt Lake City UT 84107-4297
Phone: (801) 266-0055
Fax: (801) 266-0056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 164808-1205 Utah

Profile Details

NPI number 1770542953
LBN Legal business name Cannon, George Hales
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 3rd, 2008 - about 18 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 1770542953 NPPES
Utah MEDICAID 87032604800106349

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