Individual
MARK JAMES CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6965
Mailing address
200 HAWKINS DRIVE, UNIVERSITY OF IOWA HEALTHCARE, IOWA CITY, IA 52242-1009
(319) 353-6965
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
188789
IA
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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