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PAUL CANNON, PA
PA
Surgical Physician Assistant
NPI: 1790212629IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
PA.0005119(CO)
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
12917809-1206(UT)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2017
Contact & Hours
- Address
- 395 W COUGAR BLVD STE 503
PROVO, UT 84604 - Phone
- (801) 442-3936
Quick Facts
- NPI
- 1790212629
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 9
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