Individual
DR. ROBERT DAVID CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1708 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-5250
(479) 582-2800
(479) 582-2922
Mailing address
1708 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-5250
(479) 582-2800
(479) 582-2922
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
C8066
AR
208VP0014X
Interventional Pain Medicine Physician
Primary
C-8066
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127592001
—
AR
Enumeration date
01/19/2006
Last updated
03/12/2021
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