Individual
BRYAN CANNON
Active
Individual
BRYAN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
53291
MN
2080P0202X
Pediatric Cardiology Physician
41451
IA
2080P0202X
Pediatric Cardiology Physician
Primary
53291
MN
2080P0202X
Pediatric Cardiology Physician
55005
WI
2080P0202X
Pediatric Cardiology Physician
K1982
TX
Other
Enumeration date
10/17/2006
Last updated
10/07/2024
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