Cannon, Gwen R

Cannon, Gwen R is an individual health care provider with primary practice located at 280 N Main St , Bountiful UT 84010-6136. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cannon, Gwen R can be contacted via phone (801) 294-9933.

Contact Information

Primary practice address
280 N Main St Bountiful UT 84010-6136
Phone: (801) 294-9933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 831701581205 Utah

Profile Details

NPI number 1770694309
LBN Legal business name Cannon, Gwen R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 18th, 2012 - about 14 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.

Request for update

Popular Providers