NPI 1194919449
Rodrick Alan Cannon, IDC
Practice location
- Address
- McM Crew Dominant, Fpo, AA 34093
- Phone
- (619) 540-2957
- Mailing address
- 11521 Trinity Hill Dr, Austin, TX 78753-2826
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1194919449
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Aug 2007
- Record last updated
- 20 Apr 2008
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.