DR. Jeffrey R. Canham, M.D.

NPI #1770582983 in Decatur, Illinois

Provider Information

NPI Number: 1770582983
Entity Type: Individual
Name: DR. Jeffrey R. Canham, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Jul 19, 2005
Last Updated: Aug 20, 2014

Practice Location

Address: 302 W HAY ST
Address 2: SUITE 200
City: Decatur
State: Illinois
ZIP Code: 62526-4167
Phone: (217) 877-8925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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Organizations

Provider Name	Specialty	City
St Marys Hospital Decatur of the Hospital Sisters of the Third Order	Urology	Decatur	AI Deep Dive
Urology Assoc of Decatur Ltd	Urology	Decatur	AI Deep Dive

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