Dr JEREMIAH CANNON is a male medical professional, specializing in Nurse Practitioner. He graduated in 2016.
COWBOY MEDICAL GROUP PC
1125 CHARLES AVE
WORLAND
WY
824014021
Tel: 3073472449
| Npi | 1629518220 |
| Pac Id | 7012293079 |
| Professional Enrollment Id | I20170406000976 |
| Last Name | CANNON |
| First Name | JEREMIAH |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | COWBOY MEDICAL GROUP PC |
| Group Practice Pac Id | 6901166446 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 1125 CHARLES AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WORLAND |
| State | WY |
| Zip Code | 824014021 |
| Phone Number | 3073472449 |
| Hospital Affiliation Ccn 1 | 531306 |
| Hospital Affiliation Lbn 1 | WASHAKIE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 531304 |
| Hospital Affiliation Lbn 2 | HOT SPRINGS COUNTY MEMORIAL HOSPITAL |
| 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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