Individual
AUSTIN RON CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
7417 S RICH WAY, COTTONWOOD HEIGHTS, UT 84121-4840
(919) 608-2404
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10086826-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10086826
STATE OF UTAH ACTIVE LICENSE
UT
Enumeration date
03/27/2015
Last updated
10/07/2022
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