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1326032939
PETER M CANNON
IDAHO FALLS, ID
NPI
1326032939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: ID M-3494)
Enumeration Date
2005-09-09
Last Update Date
2011-04-06
Business Address
Dr. PETER M CANNON M.D.
2001 S WOODRUFF AVE SUITE 4
IDAHO FALLS, ID 83404-6374
Phone number: 208-524-4511
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Mailing Address
Dr. PETER M CANNON M.D.
2001 S WOODRUFF AVE SUITE 4
IDAHO FALLS, ID 83404-6374
Phone number: 208-524-4511
Copy
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