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
Phone: (801) 582-1565
Fax: (801) 584-1277
Website:
Health care specialties
Specialty | Code | License # | 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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