PAUL B CANNON DPM

PAUL B CANNON DPM PC

Dr PAUL B CANNON DPM is a male medical professional, specializing in Podiatry. He graduated in 2002 from Dr. William M. Scholl College Of Podiatric Medicine.

Contact

PAUL B CANNON DPM PC

104 -A E BROAD ST
FALLS CHURCH
VA
220464501

Tel: 7032371555

PAUL B CANNON DPM Information

Npi 1740285022
Pac Id 8921046665
Professional Enrollment Id I20050421001563
Last Name CANNON
First Name PAUL
Middle Name B
Suffix
Gender M
Credential DPM
Medical School Name DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year 2002
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PAUL B CANNON DPM PC
Group Practice Pac Id 1355305202
Number Of Group Practice Members 2
Line 1 Street Address 104 -A E BROAD ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FALLS CHURCH
State VA
Zip Code 220464501
Phone Number 7032371555
Hospital Affiliation Ccn 1 490050
Hospital Affiliation Lbn 1 VIRGINIA HOSPITAL CENTER
Hospital Affiliation Ccn 2 490113
Hospital Affiliation Lbn 2 SENTARA NORTHERN VIRGINIA MEDICAL CENTER
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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