Individual
SCOTT LAWRENCE CANNON
Active
Individual
SCOTT LAWRENCE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
3351
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220030113
MEDICARE RR
AK
05
—
MD3351
—
AK
Enumeration date
05/12/2006
Last updated
12/09/2010
Update your record
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