Cannon Medical Clinic Inc

NPI 1174876999 - Internal Medicine - 207R00000X

NPI Details
NPI 1174876999
Enumeration Date 10/17/2012
Last Updated 10/17/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GEORGE LEE GEORGE
Position PRESIDENT
Phone (623) 933-1337
Fax (623) 933-6109
Practice Location
13000 N 103RD AVE #97
SUN CITY AZ, 85351-3060, US
Phone (623) 933-1337
Fax (623) 933-6109
Business Location
13000 N 103RD AVE STE 97
SUN CITY AZ, 85351-3060, US
Phone (623) 933-1337
Fax (623) 933-6109
Toxanomy
Taxonomy Code 207R00000X
License State Arizona
License Number AZ4549
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According to our database, Cannon Medical Clinic Inc NPI is 1174876999, taxonomy code is 207R00000X and license number is AZ4549, license state is located at Arizona. Cannon Medical Clinic Inc physically located at 13000 N 103rd Ave #97, Sun City AZ, 85351-3060. NPI Number 1033115704 has the healthcare provider type.

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1174876999 NPI number is provided on an as is basis without warranty of any kind. 1174876999 is maintained by the National Plan & Provider Enumeration System. The contents of Cannon Medical Clinic Inc are for informational purposes only.