Search › Utah › 363A00000X
Ty Cannon, PA-C
NPI 1417432501 · on the registry since 2018
Practice
- Address
- 616 S River Rd Ste 200
St George, UT 84790 - Phone
- (435) 628-8944
- Organisation at this address
- Ideal Hearing Solutions Llc
Integrated Senior Care Hospice
Loose Cannon Social Work, Llc.
Integrated Senior Care Personal Care
Greater St George Physical Therapy And Wellness, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah