Individual
ZANE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
628 HOSPITAL DR STE C, MOUNTAIN HOME, AR 72653-2965
(870) 508-7450
Mailing address
2215 CLARK ST # A, JONESBORO, AR 72401-6531
(870) 530-6875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-17054
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2021
Last updated
09/18/2024
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