Cannon, Grant Wilson

Cannon, Grant Wilson is an individual health care provider with primary practice located at Vamc (11E) 500 Foothill Boulevard, Salt Lake City UT 84148-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Cannon, Grant Wilson can be contacted via phone (801) 582-1565.

Contact Information

Primary practice address
Vamc (11E) 500 Foothill Boulevard Salt Lake City UT 84148-0001
Fax: (801) 584-1277
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 165454-1205 Utah

Profile Details

NPI number 1942239439
LBN Legal business name Cannon, Grant Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 9th, 2007 - about 18 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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