Cannon Medical Clinic INC

NPI #1174876999 in Sun City, Arizona

Provider Information

NPI Number: 1174876999
Entity Type: Organization
Organization Name: Cannon Medical Clinic INC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 17, 2012
Last Updated: Oct 17, 2012

Practice Location

Address: 13000 N 103RD AVE #97
City: Sun City
State: Arizona
ZIP Code: 85351-3060
Phone: (623) 933-1337

Authorized Official

Name: DR. GEORGE LEE CANNON, M.D.
Title: PRESIDENT
Phone: (623) 933-1337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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