Gwen R Cannon

Pediatrics | Female

Gwen R Cannon is a Bountiful, Utah based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Gwen R Cannon is 280 N Main St, Bountiful, Utah - 84010-6136. She can be contacted on phone at 801-294-9933. Gwen R Cannon is a sole proprietor of her business.
NPI number (Unique professional ID) for Gwen R Cannon is 1770694309 which was assigned by NPPES on 31 Aug, 2006 and it was last updated on 18 Sep, 2012. Gwen R Cannon license number is 831701581205 for Pediatrics (208000000X) in Utah.
Gwen R Cannon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Gwen R Cannon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Gwen R Cannon
Gender :Female
Business Address:
Gwen R Cannon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :280 N Main St
Bountiful, UT, 84010-6136
United States
Phone Number :801-294-9933
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1770694309
NPI Entity Type : Individual
First Enrolment Date : 31 Aug, 2006
Last Updated On : 18 Sep, 2012
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gwen R Cannon are as mentioned. Primary taxonomy code for Gwen R Cannon is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes831701581205UT
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 27128
Salt Lake City, UT, 84127-0128
United States
Phone Number :801-233-4400
Fax Number :801-233-4410
Business Location:
Patients can refer following map for directions to Gwen R Cannon practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.