Cannon Chiropractic
NPI #1164837647 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1164837647
- Entity Type
- Organization
- Organization Name
- Cannon Chiropractic
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 24, 2014
- Last Updated
- Jun 24, 2014
Practice Location
- Address
- 2052 JENNIE LEE DR
- Address 2
- SUITE 4
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7047
- Phone
- (208) 557-1880
Authorized Official
- Name
- DR. TIMOTHY W CANNON, D.C., M.S.
- Title
- CHIROPRACTIC PHYSICIAN, OWNER
- Phone
- (208) 557-1880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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