Individual
ROBERT CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
(602) 315-0211
(602) 840-1290
Mailing address
4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
(602) 315-0211
(602) 840-1290
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/23/2010
Last updated
07/21/2022
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