Individual
ROBERT A. CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-3750
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-7350
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
A24752
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A247520
—
CA
Enumeration date
11/01/2006
Last updated
10/04/2007
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