Individual
DR. ERIC KENT CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
53292
MN
207L00000X
Anesthesiology Physician
Primary
8622599-1205
UT
Other
Enumeration date
04/16/2009
Last updated
03/17/2018
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