Individual
DR. PAUL B CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
104A E BROAD ST, FALLS CHURCH, VA 22046-4501
(703) 237-1555
(703) 237-2253
Mailing address
104A E BROAD ST, FALLS CHURCH, VA 22046-4501
(703) 237-1555
(703) 237-2253
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300931
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
01424
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
PO1000043
DC
213ES0103X
Foot & Ankle Surgery Podiatrist
—
IL
Other
Enumeration date
06/14/2005
Last updated
12/07/2007
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