Individual
DR. SCOTT A. CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8573 E SAN ALBERTO DR, SUITE E-100, SCOTTSDALE, AZ 85258-4318
(480) 778-1732
(480) 778-1709
Mailing address
8573 E SAN ALBERTO DR, SUITE E-100, SCOTTSDALE, AZ 85258-4318
(480) 778-1732
(480) 778-1709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AZ27760
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z4968
HEALTHNET
AZ
01
—
412932
AHCCCS
AZ
01
—
413774
AETNA
AZ
01
—
AZ0848090
BCBS
AZ
Enumeration date
08/09/2006
Last updated
07/08/2007
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