Individual
CHARLES R CANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
(360) 397-3128
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
66585
AZ
207RC0000X
Cardiovascular Disease Physician
MD00040793
WA
207RC0000X
Cardiovascular Disease Physician
MD22152
OR
207RI0011X
Interventional Cardiology Physician
MD22152
OR
Other
Enumeration date
05/24/2006
Last updated
12/27/2022
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