Individual
RICHARD BIGELOW CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD60642199
WA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
8405867-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679867378
—
WA
Enumeration date
05/31/2011
Last updated
11/11/2021
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