Individual
DR. JEAN SUZANNE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2510 CHICKASAW BLVD, ARDMORE, OK 73401
(580) 226-8181
(580) 223-4761
Mailing address
2510 CHICKASAW BLVD, ARDMORE, OK 73401
(580) 226-8181
(580) 223-4761
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25555
OK
Other
Enumeration date
03/17/2008
Last updated
09/08/2016
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