Cannon, Gary

Cannon, Gary is an individual health care provider with primary practice located at 11610 N 137Th E Ave , Collinsville OK 74021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cannon, Gary can be contacted via phone (918) 272-2247.

Contact Information

Primary practice address
11610 N 137Th E Ave Collinsville OK 74021
Phone: (918) 272-2247
Fax: (918) 272-6185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1937 Oklahoma

Profile Details

NPI number 1659357051
LBN Legal business name Cannon, Gary
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jan 26th, 2023 - about 2 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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