Organization
WESTBURY ALLERGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E. CANNON (OWNER)
(636) 723-7333
Entity
Organization
Contact information
Practice address
12 WESTBURY DR, SAINT CHARLES, MO 63301-2543
(636) 723-7333
Mailing address
12 WESTBURY DR, SAINT CHARLES, MO 63301-2543
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
06/16/2008
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