Virginia R Cannon Md Pllc in Olympia - Adolescent Medicine

Virginia R Cannon Md Pllc - NPI 1144402009

Virginia R Cannon Md Pllc is a Adolescent Medicine in Olympia, Washington. Virginia R Cannon Md Pllc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Virginia R Cannon Md Pllc is 1144402009. The last update date is 2010-10-29.

Virginia R Cannon Md Pllc's current location address is 406 Yauger Way Sw, Olympia, Washington. You can contact this provider via phone number 3603523232 and fax number 3603522942. The mailing address for Virginia R Cannon Md Pllc is 406 Yauger Way Sw, Olympia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Virginia R Cannon Md Pllc
Address 406 Yauger Way Sw, Olympia, Washington
Phone Number 3603523232
Fax Number 3603522942
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Cannon R Virginia
Credentials M.D,
Telephone Number 3603523232

NPI Number Detail

NPI Number 1144402009
Provider Enumeration Date 2007-12-03
Last Updated Date 2010-10-29

Provider Mailing Address Detail

Address 406 Yauger Way Sw
City Olympia
State Washington (WA)
Post Code 985028151
Phone Number 3603523232
Fax Number 3603522942

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Ra0000X
Definition:
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
117480 WA --

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FAQs about Virginia R Cannon Md Pllc

What is the unique 10-digit identifier code assigned to Virginia R Cannon Md Pllc by the Centers for Medicare & Medicaid Services?

The Virginia R Cannon Md Pllc has been issued the NPI (National Provider Identifier) 1144402009 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Virginia R Cannon Md Pllc's facilities are geographically located?

The facilities of Virginia R Cannon Md Pllc are physically situated at the following location: 406 Yauger Way Sw, Olympia, WA, 985028151.

What is Virginia R Cannon Md Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Virginia R Cannon Md Pllc is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 207Ra0000X.

When was the Virginia R Cannon Md Pllc's 1144402009 issued?

The Virginia R Cannon Md Pllc's 1144402009 was issued on 2007-12-03.

When was the information pertaining to Virginia R Cannon Md Pllc most recently updated or revised?

The details related to Virginia R Cannon Md Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2010-10-29.

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