NPI 1033131495

Michael J Cannon, DO

Practitioner Obstetrics & Gynecology Physician Twin Falls, ID

Practice location

Address: 801 Pole Line Rd W STE 3880, Twin Falls, ID 83301-5811
Phone: (208) 814-8500
Fax: (208) 933-9635

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence O-0398 (ID)

Other Obstetrics & Gynecology providers in Idaho →

Registry record

NPI: 1033131495
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2006
Record last updated: 1 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.