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Individual

DR. CURTIS RAY CANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1750 RESEARCH PARK WAY, SUITE 104, NORTH LOGAN, UT 84341-1955
(435) 753-0272
(435) 753-2252
Mailing address
PO BOX 6340, NORTH LOGAN, UT 84341-6340
(435) 753-0272
(435) 753-2252

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
159037-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107006790102
SELECTHEALTH
UT
01
1248
PEHP
UT
01
36092
DMBA
UT
01
870378139CA1
EMIA
UT
Enumeration date
06/16/2006
Last updated
10/11/2007
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