Individual
DR. MICHAEL J CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
801 POLE LINE RD W STE 3880, TWIN FALLS, ID 83301-5811
(208) 814-8500
(208) 933-9635
Mailing address
801 POLE LINE RD W STE 3880, TWIN FALLS, ID 83301-5811
(082) 814-8500
(208) 933-9635
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
O-0398
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807489600
—
ID
Enumeration date
07/24/2006
Last updated
10/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us