MIRANDA M CANNON

MIRANDA CANNON PLLC

Dr MIRANDA M CANNON is a female medical professional, specializing in Optometry. She graduated in 2010 from Indiana University - School Of Optometry.

Contact

MIRANDA CANNON PLLC

504 BARNES BLVD
BLDG 504
JOINT BASE LEWIS MCCHORD
WA
984381304

Tel: 2535881731

MIRANDA M CANNON Information

Npi 1104130871
Pac Id 3971721044
Professional Enrollment Id I20140903000344
Last Name CANNON
First Name MIRANDA
Middle Name M
Suffix
Gender F
Credential
Medical School Name INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduation Year 2010
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MIRANDA CANNON PLLC
Group Practice Pac Id 1456637735
Number Of Group Practice Members 2
Line 1 Street Address 504 BARNES BLVD
Line 2 Street Address BLDG 504
Marker Of Address Line 2 Suppression
City JOINT BASE LEWIS MCCHORD
State WA
Zip Code 984381304
Phone Number 2535881731
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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