DR. Peter M Cannon, M.D.

NPI #1326032939 in Idaho Falls, Idaho

Provider Information

NPI Number: 1326032939
Entity Type: Individual
Name: DR. Peter M Cannon, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Sep 9, 2005
Last Updated: Apr 6, 2011

Practice Location

Address: 2001 S WOODRUFF AVE
Address 2: SUITE 4
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6374
Phone: (208) 524-4511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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