Individual
CARRIE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 578-5273
(412) 578-4934
Mailing address
667 EASTLAND AVE SE, WARREN, OH 44484-4503
(330) 746-9400
(330) 746-9401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.083356
OH
208000000X
Pediatrics Physician
Primary
MD073333L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017486900002
—
PA
05
—
2556925
—
OH
Enumeration date
10/02/2006
Last updated
03/23/2022
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