Zachary G. Cannon M.D.

NPI 1457648974 - Pediatrics - 208000000X

NPI Details
NPI 1457648974
Gender Male
Enumeration Date 07/05/2011
Last Updated 01/25/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
1000 E 5TH ST
TYLER TX, 75701-3346, US
Phone (903) 596-3862
Fax (903) 590-5005
Business Location
1000 E 5TH ST
TYLER TX, 75701-3346, US
Phone (903) 596-3862
Fax (601) 984-2086
Toxanomy
Taxonomy Code 208000000X
License State Mississippi
License Number 817-L
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According to our database, Zachary G. Cannon M.D. NPI is 1457648974, taxonomy code is 208000000X and license number is 817-L, license state is located at Mississippi. Zachary G. Cannon M.D. physically located at 1000 E 5th St, Tyler TX, 75701-3346. NPI Number Zachary G. Cannon M.D. has the Individual type.

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1457648974 NPI number is provided on an as is basis without warranty of any kind. 1457648974 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary G. Cannon M.D. are for informational purposes only.