Brian G. Cannon, MD

NPI #1851570741 in Johnstown, New York

Provider Information

NPI Number: 1851570741
Entity Type: Organization
Organization Name: Brian G. Cannon, MD
Primary Specialty: Internal Medicine
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 2 FON CLAIR TER
City: Johnstown
State: New York
ZIP Code: 12095-3100
Phone: (518) 226-0267

Authorized Official

Name: MR. BRIAN G CANNON, MD
Title: PRESIDENT
Phone: (518) 226-0267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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