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Organization
JENNIFER C CANNON, DO, PLLC
Active
Organization
JENNIFER C CANNON, DO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER C CANNON D.O. (OWNER/MEMBER MANAGER)
(480) 544-2599
Entity
Organization
Contact information
Practice address
4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
(480) 544-2599
(602) 840-1290
Mailing address
4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
(480) 544-2599
(602) 840-1290
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7114
AZ
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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