NPI 1164472742

Scott Lawrence Cannon, MD

Practitioner Pathology Specialist/Technologist Fairbanks, AK

Practice location

Address: 1650 Cowles St, Fairbanks, AK 99701-5925
Phone: (907) 458-5650
Fax: (907) 456-8050
Mailing address: 315 Illinois St, Fairbanks, AK 99701-2910

Registered specialties

Pathology Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Q00000X Licence 3351 (AK)

Other Specialist/Technologist, Pathology providers in Alaska →

Registry record

NPI: 1164472742
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2006
Record last updated: 9 Dec 2010

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.