Individual
MR. FRANK PAUL CANAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
440 N. MOUNTAIN AVE, SUITE 301, UPLAND, CA 91786
(909) 931-4034
(909) 931-2477
Mailing address
9754 SHADOW SPRINGS DRIVE, MORENO VALLEY, CA 92557
(951) 242-8774
(909) 931-2477
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-11398
CA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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