TY CANNON

ST GEORGE, UT
NPI1417432501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  10974132-1206)
Enumeration Date2018-09-25
Last Update Date2018-09-25
Business Address
Mr. TY CANNON PA-C
616 S RIVER RD STE 200
ST GEORGE, UT 84790-2105
Phone number: 435-628-8944
Mailing Address
Mr. TY CANNON PA-C
150 N 1100 E UNIT 50
WASHINGTON, UT 84780-2883
Phone number: 435-231-2961
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