GWEN R CANNON

BOUNTIFUL, UT
NPI1770694309
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  831701581205)
Enumeration Date2006-08-31
Last Update Date2012-09-18
Business Address
-- GWEN R CANNON
280 N MAIN ST
BOUNTIFUL, UT 84010-6136
Phone number: 801-294-9933
Mailing Address
-- GWEN R CANNON
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-233-4400