Individual
MR. GARTH MCKEAN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1912 W 930 N, PLEASANT GROVE, UT 84062-4104
(801) 492-1999
Mailing address
1912 W 930 N, PLEASANT GROVE, UT 84062-4104
(801) 492-1999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5384822-1206
UT
Other
Enumeration date
07/18/2005
Last updated
01/16/2015
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