Individual provider · Type 1 NPI

Robert Cannon

Student in an Organized Health Care Education/Training Program · Wright Patterson Afb, OH

NPI number 1194632687 Active

Practice location

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529

Call (937) 656-2275 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194632687

Robert Cannon's National Provider Identifier is 1194632687, issued on Aug 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wright Patterson Afb, OH. The record was last updated on Aug 27, 2026.