Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN JAMES CANNON, MD
ActiveBRYAN JAMES CANNON, MD is a Family Medicine healthcare provider located in WILDWOOD, Missouri. NPI 1265662068 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WILDWOOD, MO
Registration Details
- NPI Number
- 1265662068
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2009 (17.084380881622 yrs)
- Last Updated
- Feb 8, 2017
- Licenses
-
6038 (NE)2016016732 (MO)
Practice Information
- Address
-
16555 MANCHESTER RDSUITE 100WILDWOOD, MO, 630401220Browse MO providers · Browse ZIP 63040
- Phone
- 6364580646
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in WILDWOOD, MO
| Name | Credential | NPI |
|---|---|---|
| LISA C BURNS | MD | 1902870561 |
| DR. BRENDA GAIL IZEN | M.D. | 1760588768 |
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.