Individual
DR. GREGORY E CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8002 MENAUL BLVD NE, ALBUQUERQUE, NM 87110-4608
(505) 294-7646
(505) 294-7646
Mailing address
8002 MENAUL BLVD NE, ALBUQUERQUE, NM 87110-4608
(505) 294-7646
(505) 294-7646
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1383
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1383
LICENCE #
NM
Enumeration date
07/31/2006
Last updated
07/08/2007
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