Canon Professional, L.L.C. in Canon City - Primary Care
Canon Professional, L.L.C. - NPI 1568625549
Canon Professional, L.L.C. is a Primary Care in Canon City, Colorado. Canon Professional, L.L.C. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Canon Professional, L.L.C. is 1568625549. The last update date is 2008-07-09.
Canon Professional, L.L.C.'s current location address is 730 Macon Ave, Canon City, Colorado. You can contact this provider via phone number 7192751618 and fax number 7192757334. The mailing address for Canon Professional, L.L.C. is 730 Macon Ave, Canon City, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Canon Professional, L.L.C. |
|---|---|
| Address | 730 Macon Ave, Canon City, Colorado |
| Phone Number | 7192751618 |
| Fax Number | 7192757334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mohr Alan Gary |
| Credentials | M.D. |
| Telephone Number | 7192751618 |
NPI Number Detail
| NPI Number | 1568625549 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2008-07-09 |
Provider Mailing Address Detail
| Address | 730 Macon Ave |
|---|---|
| City | Canon City |
| State | Colorado (CO) |
| Post Code | 812123314 |
| Phone Number | 7192751618 |
| Fax Number | 7192757334 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 24731 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
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What is the unique provider identifier assigned to Canon Professional, L.L.C.?
The Canon Professional, L.L.C. has been issued the NPI (National Provider Identifier) 1568625549 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Canon Professional, L.L.C. is physically located?
The Canon Professional, L.L.C. is situated at the following address: 730 Macon Ave, Canon City, CO 812123314.
What is the area of specialization for Canon Professional, L.L.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Canon Professional, L.L.C. is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568625549 to Canon Professional, L.L.C.?
The Canon Professional, L.L.C. received its 1568625549 assignment from the Centers for Medicare & Medicaid Services on 2008-07-09.
When was the information pertaining to Canon Professional, L.L.C. most recently updated or revised?
The details related to Canon Professional, L.L.C., including its address, specialty, and other relevant information, were last updated or revised on 2008-07-09.
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