Virginia R Cannon Md Pllc

NPI 1144402009 - Internal Medicine - 207RA0000X

NPI Details
NPI 1144402009
Enumeration Date 12/03/2007
Last Updated 10/29/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VIRGINIA R VIRGINIA
Position OWNER
Phone (360) 352-3232
Fax (360) 352-2942
Practice Location
406 YAUGER WAY SW
SUITE A
OLYMPIA WA, 98502-8151, US
Phone (360) 352-3232
Fax (360) 352-2942
Business Location
406 YAUGER WAY SW
SUITE A
OLYMPIA WA, 98502-8151, US
Phone (360) 352-3232
Fax (360) 352-2942
Toxanomy
Taxonomy Code 207RA0000X
License State
License Number
Remove 1144402009 NPI Number
 

According to our database, Virginia R Cannon Md Pllc NPI is 1144402009, taxonomy code is 207RA0000X Virginia R Cannon Md Pllc physically located at 406 Yauger Way Sw, Olympia WA, 98502-8151. NPI Number 1033115704 has the healthcare provider type.

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1144402009 NPI number is provided on an as is basis without warranty of any kind. 1144402009 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia R Cannon Md Pllc are for informational purposes only.