Cannon, Dylan Jace

Cannon, Dylan Jace is an individual health care provider with primary practice located at 800 Stanton L Young Blvd # 3422 , Oklahoma City OK 73104-5018. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Cannon, Dylan Jace can be contacted via phone (405) 271-4426.

Contact Information

Primary practice address
800 Stanton L Young Blvd # 3422 Oklahoma City OK 73104-5018
Phone: (405) 271-4426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 39531 Oklahoma

Profile Details

NPI number 1770104812
LBN Legal business name Cannon, Dylan Jace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2020
Last updated Jun 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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