Individual
DR. CHARLES LAWRENCE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1218 W WILLOW, STE A, ENID, OK 73703-2534
(580) 233-2176
(580) 233-2179
Mailing address
1218 W WILLOW RD, STE A, ENID, OK 73703-2534
(580) 233-2176
(580) 233-2179
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17275
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
TRICARE REGION 6
OK
01
—
100007598
RAILROAD MEDICARE
GA
05
—
100088540A
—
OK
Enumeration date
06/27/2005
Last updated
12/11/2012
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