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

RICHARD CANNON, MD

Active

Ophthalmology · IDAHO FALLS, ID

Registration Details

NPI Number
1992842264
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2007 (19.240637521222 yrs)
Last Updated
Jul 8, 2007
License
M-10001 (ID)

Practice Information

Address
2025 E 17TH ST
IDAHO FALLS, ID, 834046430
Browse ID providers · Browse ZIP 83404
Phone
2085242025
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in IDAHO FALLS, ID

Name Credential NPI
DR. ERIC K ROMRIELL DO 1922072586
DR. GARY WAYNE WALLACE M.D. 1144335290
DR. AARON JON AFFLECK MD 1861507857
DR. BRADLEY P GARDNER MD 1255408217
DR. KENNETH W TURLEY MD 1063589034
MR. PETER CARL ZIMMERMAN MD 1275685513
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.