Bryan James Cannon, MD

NPI #1265662068 in Wildwood, Missouri

Provider Information

NPI Number: 1265662068
Entity Type: Individual
Name: Bryan James Cannon, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 15, 2009
Last Updated: Feb 8, 2017

Practice Location

Address: 16555 MANCHESTER RD
Address 2: SUITE 100
City: Wildwood
State: Missouri
ZIP Code: 63040-1220
Phone: (636) 458-0646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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