Individual
NICHOLAS C KANAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 W STATE ROUTE 89A, SEDONA, AZ 86336-4937
(928) 204-4100
Mailing address
327 W 200 S APT 404, SALT LAKE CITY, UT 84101-4212
(650) 723-9215
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14389
NV
207P00000X
Emergency Medicine Physician
Primary
76007
AZ
207P00000X
Emergency Medicine Physician
82483301205
UT
207P00000X
Emergency Medicine Physician
A114237
CA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
8248330-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2009
Last updated
01/23/2025
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