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Individual
RICHARD BIGELOW CANNON
Active
Individual
RICHARD BIGELOW CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD60642199
WA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
8405867-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679867378
—
WA
Enumeration date
05/31/2011
Last updated
11/11/2021
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