# JENNIFER C CANNON, DO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538692645
- **Authorized official:** JENNIFER C CANNON D.O. (OWNER/MEMBER MANAGER)
- **Authorized official phone:** (480) 544-2599

## Contact information

- **Practice address:** 4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
- **Practice address phone:** (480) 544-2599
- **Practice address fax:** (602) 840-1290
- **Mailing address:** 4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
- **Mailing address phone:** (480) 544-2599
- **Mailing address fax:** (602) 840-1290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 7114 | AZ | Yes |

## Other

- **Enumeration date:** 04/05/2017
- **Last updated:** 04/05/2017