Individual
MR. RICHARD B CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 S 1300 E, SANDY, UT 84094-3763
(801) 501-2100
(801) 233-4410
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 233-4400
(801) 233-4410
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
154340-1205
UT
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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