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Search › Utah › 363AS0400X

Paul Cannon, PA

NPI 1790212629 · on the registry since 2017

Practice

Address
395 W Cougar Blvd Ste 503
Provo, UT 84604
Phone
(801) 442-3936
Organisation at this address
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
131

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363AM0700X
363AM0700X
Licence states on file
CO, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-16

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