Organization
PAUL B CANNON DPM PC
Active
Other names
Falls Church Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL B CANNON DPM (PRESIDENT)
(703) 237-1555
Entity
Organization
Contact information
Practice address
104A E BROAD ST, FALLS CHURCH, VA 22046-4501
(703) 237-1555
(703) 237-2253
Mailing address
104A E BROAD ST, FALLS CHURCH, VA 22046-4501
(703) 237-1555
(703) 237-2253
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300931
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0893300001
VA
332BC3200X
Customized Equipment (DME)
0893300001
VA
Other
Enumeration date
08/20/2006
Last updated
11/27/2012
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