Whalio Doctors

NPI 1104806702

Robert David Cannon, MD

Practitioner Interventional Pain Medicine Physician Fayetteville, AR

Practice location

Address
1708 E Joyce Blvd STE 2, Fayetteville, AR 72703-5250
Phone
(479) 582-2800
Fax
(479) 582-2922

Registered specialties (2)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence C-8066 (AR)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence C8066 (AR)

Registry record

NPI
1104806702
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jan 2006
Record last updated
12 Mar 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.