Individual
REBECCA E CANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
316 E BABCOCK ST, BOZEMAN, MT 59715-4710
(406) 585-0022
Mailing address
316 E BABCOCK ST, BOZEMAN, MT 59715-4710
(406) 585-0022
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
9942
MT
Other
Enumeration date
01/10/2007
Last updated
07/09/2007
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