Organization
CANNON MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE LEE CANNON M.D. (PRESIDENT)
(623) 933-1337
Entity
Organization
Contact information
Practice address
13000 N 103RD AVE #97, SUN CITY, AZ 85351-3060
(623) 933-1337
(623) 933-6109
Mailing address
13000 N 103RD AVE STE 97, SUN CITY, AZ 85351-3060
(623) 933-1337
(623) 933-6109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AZ4549
AZ
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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