Paul Cannon, DPM

NPI 1740285022 · on the registry since 2005 · sole proprietor

Practice

Address: 104a E Broad St
Falls Church, VA 22046
Phone: (703) 237-1555
Fax: (703) 237-2253
Organisation at this address: Paul B Cannon Dpm Pc
Privia Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Also registered as: 213ES0103X
213ES0103X
213ES0103X
Licence states on file: VA, MD, DC, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-12-07

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 Virginia