Daniel Cannon, MD | |
1380 E Medical Center Dr, Saint George, UT 84790-2123 | |
(435) 251-2741 | |
Not Available |
Full Name | Daniel Cannon |
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Gender | Male |
Speciality | Pediatrics |
Location | 1380 E Medical Center Dr, Saint George, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114213691 | NPI | - | NPPES |
49302 | Other | AZ | MEDICAL LICENSE |
701112 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 49302 (Arizona) | Primary |
208000000X | Pediatrics | 11968682-1205 (Utah) | Secondary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Daniel Cannon, MD 2356 E 3480 S, Saint George, UT 84790-7885 Ph: () - | Daniel Cannon, MD 1380 E Medical Center Dr, Saint George, UT 84790-2123 Ph: (435) 251-2741 |
Dr. Larry Duane Eggert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 544 S 400 E, Neonatology, Saint George, UT 84770 Phone: 435-688-5447 | |
Wendell Truman Nilson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1240 E 100 S Ste 14, Saint George, UT 84790 Phone: 435-634-0055 Fax: 435-674-7994 | |
Dr. Taylor Merkley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr Ste 3100, Saint George, UT 84790 Phone: 435-251-2740 | |
Cody J Hawkes, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1240 E 100 S Ste 14, Saint George, UT 84790 Phone: 356-288-2324 Fax: 435-674-7994 |