DOMENIC MICHAEL CANONICO

TULLAHOMA, TN
NPI1770551640
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
(Licence: TN  18819)
Enumeration Date2006-03-08
Last Update Date2015-07-14
Business Address
-- DOMENIC MICHAEL CANONICO M.D.
507 NW ATLANTIC ST
TULLAHOMA, TN 37388-3504
Phone number: 931-393-4332
Mailing Address
-- DOMENIC MICHAEL CANONICO M.D.
507 NW ATLANTIC ST
TULLAHOMA, TN 37388-3504
Phone number: 931-393-4332
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