Individual
DR. RAYMOND JOE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7110 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-4867
(505) 346-0500
Mailing address
7110 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-4867
(505) 346-0500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
33672
CO
207W00000X
Ophthalmology Physician
Primary
70-23
NM
Other
Enumeration date
02/07/2006
Last updated
12/22/2009
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