Cannon Family Medicine LLC
Family Medicine in Crowley, LA. Organization (NPI-2).
NPI number1043372089
StatusActive
Last updated in NPPESMar 24, 2008
Details
- NPI
- 1043372089
- Entity type
- Organization (NPI-2)
- Legal business name
- Cannon Family Medicine LLC
- Organization subpart
- No
- Enumeration date
- Dec 15, 2006
- Last updated
- Mar 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 025690 | LA | Yes |
Practice location
719 N Eastern AveCrowley, LA 70526-3856
Phone 337-783-5900 · Fax 337-783-5914
Mailing address
719 N Eastern AveCrowley, LA 70526-3856
Phone 337-783-5900 · Fax 337-783-5914
Authorized official
Stephen R Cannon
Owner
3377835900
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Other Family Medicine Physician providers in Crowley, LA
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- Nelson Burke Howell, M.D.NPI 1326001470
- Karrie V Kilgore, M.D.NPI 1215903513
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All 17 Family Medicine Physician providers in Crowley · All 516 providers in Crowley
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