Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT DAVID CANNON, M.D.
Active Sole ProprietorDR. ROBERT DAVID CANNON, M.D. is a Interventional Vascular Surgery healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1104806702 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1104806702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2006 (20.577848935933 yrs)
- Last Updated
- Mar 12, 2021
- Licenses
-
C8066 (AR)C-8066 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1708 E JOYCE BLVD STE 2FAYETTEVILLE, AR, 727035250Browse AR providers · Browse ZIP 72703
- Phone
- 4795822800
- Fax
- 4795822922
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
Other Interventional Vascular Surgery Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| JARED ENNIS | MD | 1467539155 |
| JASON HOLT | MD | 1932328267 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.