person
Dr. Peter M Cannon, MD
Urology Physician in Idaho Falls, Idaho
NPI 1326032939

Peter M Cannon is a Urology Physician based in Idaho Falls, ID. Peter M Cannon practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Peter M Cannon is 1326032939 and holds a License No. M-3494 (Idaho).

The current practice location address for Peter M Cannon is 2001 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-524-4511 and via fax at 208-524-4540.

Location: 2001 S Woodruff Ave, Idaho Falls, ID, 83404-6374
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Provider Profile Details
NPI Number
1326032939
Provider Name
Peter M Cannon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2001 S Woodruff Ave, Idaho Falls, ID, 83404-6374
Phone Number
208-524-4511
Fax Number
208-524-4540
Provider Enumeration Date
09/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002502000 05 ID
institution
Provider Business Practice Location Address Details
Address
2001 S Woodruff Ave
City
State
Zip
83404-6374
Phone Number
208-524-4511
Fax Number
208-524-4540
person
Provider Business Mailing Address Details
Address
2001 S Woodruff Ave
City
State
Zip
83404-6374
Phone Number
208-524-4511
Fax Number
208-524-4540
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
M-3494 (Idaho)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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