Individual provider · Type 1 NPI

Debra C. Cannon, PA-C

Medical Physician Assistant · Dayton, OH

NPI number 1215041876 Active

Practice location

4100 W 3rd St
Dayton, OH 45428-9000

Fax (937) 267-5316

Mailing address

6889 Evergreen Cir
Huber Heights, OH 45424-3992

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50-001982 (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1215041876

Debra C. Cannon, PA-C's National Provider Identifier is 1215041876, issued on Aug 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dayton, OH. The record was last updated on Jul 8, 2007.