Richard Cannon, MD

NPI #1992842264 in Idaho Falls, Idaho

Provider Information

NPI Number: 1992842264
Entity Type: Individual
Name: Richard Cannon, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jan 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2025 E 17TH ST
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6430
Phone: (208) 524-2025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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