NPI 1174819759
Courtney Leigh Cannon, BHRS
Practice location
- Address
- 1407 SE Monroe St, Idabel, OK 74745-6619
- Phone
- (580) 612-8045
- Fax
- (580) 286-5185
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1174819759
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jun 2011
- Record last updated
- 22 Jun 2011
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.