Cannon Family Medicine Llc

NPI 1043372089 - Family Medicine - 207Q00000X

NPI Details
NPI 1043372089
Enumeration Date 12/15/2006
Last Updated 03/24/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEPHEN R STEPHEN
Position OWNER
Phone (337) 783-5900
Fax (337) 783-5914
Practice Location
719 N EASTERN AVE
CROWLEY LA, 70526-3856, US
Phone (337) 783-5900
Fax (337) 783-5914
Business Location
719 N EASTERN AVE
CROWLEY LA, 70526-3856, US
Phone (337) 783-5900
Fax (337) 783-5914
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number 025690
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According to our database, Cannon Family Medicine Llc NPI is 1043372089, taxonomy code is 207Q00000X and license number is 025690, license state is located at Louisiana. Cannon Family Medicine Llc physically located at 719 N Eastern Ave, Crowley LA, 70526-3856. NPI Number 1033115704 has the healthcare provider type.

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1043372089 NPI number is provided on an as is basis without warranty of any kind. 1043372089 is maintained by the National Plan & Provider Enumeration System. The contents of Cannon Family Medicine Llc are for informational purposes only.