NPI 1326032939

Peter M Cannon, MD

Practitioner Urology Physician Idaho Falls, ID

Practice location

Address: 2001 S Woodruff Ave Suite 4, Idaho Falls, ID 83404-6374
Phone: (208) 524-4511
Fax: (208) 524-4540

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence M-3494 (ID)

Other Urology providers in Idaho →

Registry record

NPI: 1326032939
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2005
Record last updated: 6 Apr 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.