Individual
DR. VIRGINIA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 CAPITAL MALL DR SW STE 200, OLYMPIA, WA 98502-8701
(360) 596-4899
Mailing address
3920 CAPITAL MALL DR SW STE 200, OLYMPIA, WA 98502-8701
(360) 596-4899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26278
WA
Other
Enumeration date
09/14/2006
Last updated
03/07/2018
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