Michael Cannon, Md Personalized Medicine, Llc

LBN: Michael Cannon, Md Personalized Medicine, Llc
Michael Cannon, Md Personalized Medicine, Llc is an health care organization with primary practice located at 16216 Baxter Rd Ste 340 , Chesterfield MO 63017-4778. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Michael Cannon, Md Personalized Medicine, Llc can be contacted via phone (314) 325-8925, or through Cannon, Michael via phone (314) 574-2851.

Contact Information

Primary practice address
16216 Baxter Rd Ste 340 Chesterfield MO 63017-4778
Phone: (314) 325-8925
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Michael
Phone: (314) 574-2851

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1326769175
LBN Legal business name Michael Cannon, Md Personalized Medicine, Llc
DBA Doing business as
Authorized official Cannon, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2022
Last updated Sep 9th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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