Debra C Cannon, PA-C
Physician Assistant, Medical in Dayton, OH. Individual provider (NPI-1).
NPI number1215041876
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1215041876
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Debra C Cannon
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 50-001982 | OH | Yes |
Practice location
4100 W 3rd StDayton, OH 45428-9000
Phone 937-268-6511 · Fax 937-267-5316
Mailing address
6889 Evergreen CirHuber Heights, OH 45424-3992
Phone 937-235-2658
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All 45 Medical Physician Assistant providers in Dayton · All 15,314 providers in Dayton
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