Michael Todd Cannon, DO

NPI #1124080106 in Collinsville, Oklahoma

Provider Information

NPI Number: 1124080106
Entity Type: Individual
Name: Michael Todd Cannon, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: DO
Enumeration Date: Apr 5, 2006
Last Updated: Mar 6, 2008

Practice Location

Address: 11820 N 177TH EAST AVE
City: Collinsville
State: Oklahoma
ZIP Code: 74021-5149
Phone: (918) 688-4762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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