| Dr Peter M Cannon, MD | |
|
2001 S Woodruff Ave, Suite 4, Idaho Falls, ID 83404-6374 | |
| (208) 524-4511 | |
| (208) 524-4540 |
| Full Name | Dr Peter M Cannon |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2001 S Woodruff Ave, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326032939 | NPI | - | NPPES |
| 002502000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | M-3494 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter M Cannon, MD 2001 S Woodruff Ave, Suite 4, Idaho Falls, ID 83404-6374 Ph: (208) 524-4511 | Dr Peter M Cannon, MD 2001 S Woodruff Ave, Suite 4, Idaho Falls, ID 83404-6374 Ph: (208) 524-4511 |
Dr. Timothy Osborn Taylor, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2330 Coronado St, Idaho Falls, ID 83404 Phone: 208-552-1234 Fax: 208-522-9580 | |
Richard Alan Blatter, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-524-4511 Fax: 208-524-4540 | |
Jared K. Manwaring, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2375 Coronado St, Idaho Falls, ID 83404 Phone: 208-552-1234 Fax: 208-529-1948 | |
Dr. Duncan Dwaynne Harris, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste A205, Idaho Falls, ID 83404 Phone: 208-535-4580 | |
Dr. Roger H Tall, MD Urology Medicare: Medicare Enrolled Practice Location: 2001 S Woodruff, Suite 8, Idaho Falls, ID 83404 Phone: 208-529-0633 Fax: 208-529-1948 |