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 |
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Authorized Official Name | Cannon R Virginia |
Credentials | M.D, |
Telephone Number | 3603523232 |
NPI Number Detail
NPI Number | 1144402009 |
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Provider Enumeration Date | 2007-12-03 |
Last Updated Date | 2010-10-29 |
Provider Mailing Address Detail
Address | 406 Yauger Way Sw |
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City | Olympia |
State | Washington (WA) |
Post Code | 985028151 |
Phone Number | 3603523232 |
Fax Number | 3603522942 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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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 | -- |
Post Comment/ Review Below
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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