person
Paul Cannon, PA
Surgical Physician Assistant in Provo, Utah
NPI 1790212629

Paul Cannon is a Surgical Physician Assistant based in Provo, UT and is specialized in Surgical. Paul Cannon practices in Provo, UT and has the professional credentials of PA. The NPI Number for Paul Cannon is 1790212629 and holds a License No. PA.0005119 (Utah).

The current practice location address for Paul Cannon is 395 W Cougar Blvd Ste 503, Provo, UT and can be reached out via phone at 801-442-3936.

Location: 395 W Cougar Blvd Ste 503, Provo, UT, 84604-3323
person
Provider Profile Details
NPI Number
1790212629
Provider Name
Paul Cannon
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
395 W Cougar Blvd Ste 503, Provo, UT, 84604-3323
Phone Number
801-442-3936
Fax Number
Provider Enumeration Date
05/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
395 W Cougar Blvd Ste 503
City
State
Zip
84604-3323
Phone Number
801-442-3936
Fax Number
person
Provider Business Mailing Address Details
Address
395 W Cougar Blvd Ste 503
City
State
Zip
84604-3323
Phone Number
801-442-3936
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA.0005119 (Colorado)
Definition
Definition to come...
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