Individual
CHAD MICHAEL CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8131 S. MEMORIAL DRIVE, SUITE 107, TULSA, OK 74133-4348
(918) 252-5114
(918) 748-7688
Mailing address
P.O. BOX 235019, MONTGOMERY, AL 36123-5019
(800) 232-5703
(918) 748-7688
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26477
OK
Other
Enumeration date
06/27/2008
Last updated
03/25/2020
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