Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL CANNON, PA
ActivePAUL CANNON, PA is a Surgical Physician Assistant healthcare provider located in PROVO, Utah. NPI 1790212629 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · PROVO, UT
Registration Details
- NPI Number
- 1790212629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2017 (9.2015061039098 yrs)
- Last Updated
- Aug 16, 2022
- Licenses
-
PA.0005119 (CO)12917809-1206 (UT)
Practice Information
- Address
-
395 W COUGAR BLVD STE 503PROVO, UT, 846043323Browse UT providers · Browse ZIP 84604
- Phone
- 8014423936
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT ALAN LANGE | PA | 1104801315 |
| MR. DAVID WESLEY BROCK | PA-C | 1205024122 |
| STEPHEN CRUZE | PAC | 1730318445 |
| MS. JAMI Z MCKELL | PA-C | 1851625255 |
| DREW KENNER LAMBOURNE | PA-C | 1184930786 |
| LACEE WILKINSON | PA-C | 1164709630 |
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.