DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TY CANNON, PA-C

Active

MR. TY CANNON, PA-C is a Physician Assistant healthcare provider located in ST GEORGE, Utah. NPI 1417432501 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ST GEORGE, UT

Registration Details

NPI Number
1417432501
Provider Type
Individual
Gender
Male
NPI Issued
Sep 25, 2018 (7.8737704515923 yrs)
Last Updated
Sep 25, 2018
License
10974132-1206 (UT)

Practice Information

Address
616 S RIVER RD STE 200
ST GEORGE, UT, 847902105
Browse UT providers · Browse ZIP 84790
Phone
4356288944
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ST GEORGE, UT

Name Credential NPI
JAYME FOSTER LOTT PA-C 1619970647
MR. TODD A STIRLING PA C 1821075227
BRUCE A MCPHERSON PA 1265419451
SHAUNA L MCBRIDE PA C 1457330532
JACQUELINE L MURRAY PA-C 1215908322
MR. SEAN J STUCKI PA-C 1245296383
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.