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.
PAUL B CANNON DPM PC
104 -A E BROAD ST
FALLS CHURCH
VA
220464501
Tel: 7032371555
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 |
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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 |
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Professional Accepts Medicare Assignment | Y |
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