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

GWEN R CANNON

Active

GWEN R CANNON is a Pediatrics healthcare provider located in BOUNTIFUL, Utah. NPI 1770694309 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · BOUNTIFUL, UT

Registration Details

NPI Number
1770694309
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2006 (19.954776731448 yrs)
Last Updated
Sep 18, 2012
License
831701581205 (UT)

Practice Information

Address
280 N MAIN ST
BOUNTIFUL, UT, 840106136
Browse UT providers · Browse ZIP 84010
Phone
8012949933
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in BOUNTIFUL, UT

Name Credential NPI
DR. KARA F BURNETT MD 1669454401
DR. JACQUELINE K GIANNINI MD 1881676583
DR. ALLISON L GROEBS MD 1235111949
DR. KATHLEEN M LIOU MD 1013999721
CLARK K. LOFTUS MD 1285617928
DR. KATHLEEN ANN TRACH-MOSKUN MD 1841246410
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.