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Timothy Wade Cannon, DC
Chiropractor in Ammon, Idaho
NPI 1952722290

Timothy Wade Cannon is a Chiropractor based in Ammon, ID. Timothy Wade Cannon practices in Ammon, ID and has the professional credentials of DC. The NPI Number for Timothy Wade Cannon is 1952722290 and holds a License No. CHIA-1580 (Idaho).

The current practice location address for Timothy Wade Cannon is 611 Ensign Dr, Ammon, ID and can be reached out via phone at 208-557-1880. You can also correspond with Timothy Wade Cannon through the mailing address at 611 ENSIGN DR, AMMON, ID - 83406-4777 (mailing address contact number: 208-557-1880).

Location: 611 Ensign Dr, Ammon, ID, 83406-4777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952722290
Provider Name
Timothy Wade Cannon
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
611 Ensign Dr, Ammon, ID, 83406-4777
Phone Number
208-557-1880
Fax Number
Provider Enumeration Date
01/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
611 Ensign Dr
City
Ammon
State
Idaho
Zip
83406-4777
Phone Number
208-557-1880
Fax Number
person
Provider Business Mailing Address Details
Address
611 Ensign Dr
City
Ammon
State
Idaho
Zip
83406-4777
Phone Number
208-557-1880
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-1580 (Idaho)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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