Cannon, Paul

Cannon, Paul is an individual health care provider with primary practice located at 395 W Cougar Blvd Ste 503 , Provo UT 84604-3323. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Cannon, Paul can be contacted via phone (801) 442-3936.

Contact Information

Primary practice address
395 W Cougar Blvd Ste 503 Provo UT 84604-3323
Phone: (801) 442-3936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0005119 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 12917809-1206 Utah

Profile Details

NPI number 1790212629
LBN Legal business name Cannon, Paul
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2017
Last updated Aug 16th, 2022 - about 3 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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