Individual provider · Type 1 NPI
Paul B. Cannon, DPM
Foot & Ankle Surgery Podiatrist · Falls Church, VA
NPI number
1740285022
Active
Practice location
104A E Broad St
Falls Church, VA 22046-4501
Fax (703) 237-2253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0103300931 (VA) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 01424 (MD) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO1000043 (DC) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
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About NPI 1740285022
Paul B. Cannon, DPM's National Provider Identifier is 1740285022, issued on Jun 14, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Falls Church, VA. The record was last updated on Dec 7, 2007.