Individual
ANNIE JANE XIAO XIAO CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 655-6600
Mailing address
2648 E CASTO LN, SALT LAKE CITY, UT 84117-6303
(801) 664-6128
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
14245481-1206
UT
Other
Enumeration date
02/27/2023
Last updated
11/09/2025
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