# CANNON SURGICAL FIRST ASSISTING LLC

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

## Provider details

- **NPI number:** 1730714866
- **Authorized official:** MR. ROBERT C CANNON RNFA (OWNER)
- **Authorized official phone:** (214) 227-2457

## Contact information

- **Practice address:** 60875 E EAGLE MOUNTAIN DR, TUCSON, AZ 85739-5939
- **Practice address phone:** (214) 227-2457
- **Practice address fax:** (214) 764-0880
- **Mailing address:** 60875 E EAGLE MOUNTAIN DR, TUCSON, AZ 85739-5939
- **Mailing address phone:** (214) 227-2457
- **Mailing address fax:** (214) 764-0880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | Yes |
| 163WR0006X | Registered Nurse First Assistant | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2020
- **Last updated:** 05/15/2020