Mary L Cannon in Morgantown - Diagnostic Radiology

Mary L Cannon - NPI 1679532592

Mary L Cannon is a Diagnostic Radiology in Morgantown, . Mary L Cannon practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mary L Cannon is 1679532592. The last update date is 2021-02-08.

Mary L Cannon's current location address is 101 Stadium Dr, Morgantown, . You can contact this provider via phone number 3045984000 and fax number 3042936963. The mailing address for Mary L Cannon is 101 Stadium Dr, Morgantown, . To know further, please read the information below!

Provider Profile Detail

Provider Name Mary L Cannon
Address 101 Stadium Dr, Morgantown,
Phone Number 3045984000
Fax Number 3042936963
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1679532592
Provider Enumeration Date 2006-03-20
Last Updated Date 2021-02-08

Provider Mailing Address Detail

Address 101 Stadium Dr
City Morgantown
State (WV)
Post Code 265067911
Phone Number 3045984000
Fax Number 3042936963

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 20506
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1807576000 WV --

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FAQs about Mary L Cannon

What is the unique 10-digit identifier code issued to Mary L Cannon by the Centers for Medicare & Medicaid Services?

The Mary L Cannon has been assigned the NPI (National Provider Identifier) 1679532592 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Mary L Cannon?

The Mary L Cannon is physically situated at 101 Stadium Dr, in the city of Morgantown, state of WV, with the postal code 265067911.

What is the Mary L Cannon's specialty and taxonomy code?

The Mary L Cannon's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

When did the Mary L Cannon receive its 1679532592?

The Mary L Cannon was issued its 1679532592 on 2006-03-20, which is the date when the organization was assigned this unique identifier.

When was the information regarding Mary L Cannon most recently updated?

The details pertaining to the Mary L Cannon, including its address, specialty, and other relevant information, were last refreshed on 2021-02-08.

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