Individual
STEPHEN JAMES CANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-3960
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-3960
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
86246
OH
2088P0231X
Pediatric Urology Physician
Primary
E-6307
AR
2088P0231X
Pediatric Urology Physician
M5656
TX
Other
Enumeration date
12/04/2006
Last updated
10/10/2022
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