RICHARD CANNON

IDAHO FALLS, ID
NPI1992842264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: ID  M-10001)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
RICHARD CANNON MD
2025 E 17TH ST
IDAHO FALLS, ID 83404-6430
Phone number: 208-524-2025
Mailing Address
RICHARD CANNON MD
2025 E 17TH ST
IDAHO FALLS, ID 83404-6430
Phone number: 208-524-2025
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