Dr JOHN CAGNOLA III PA is a male medical professional, specializing in Physician Assistant. He graduated in 1985.
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
117 E MAIN ST
SUITE A100
PAYSON
AZ
855414606
Tel: 9285964500
| Npi | 1790715183 |
| Pac Id | 0749260974 |
| Professional Enrollment Id | I20040720001160 |
| Last Name | CAGNOLA |
| First Name | JOHN |
| Middle Name | |
| Suffix | III |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1985 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Group Practice Pac Id | 6406020155 |
| Number Of Group Practice Members | 146 |
| Line 1 Street Address | 117 E MAIN ST |
| Line 2 Street Address | SUITE A100 |
| Marker Of Address Line 2 Suppression | |
| City | PAYSON |
| State | AZ |
| Zip Code | 855414606 |
| Phone Number | 9285964500 |
| Hospital Affiliation Ccn 1 | 031318 |
| Hospital Affiliation Lbn 1 | |
| Hospital Affiliation Ccn 2 | 030088 |
| Hospital Affiliation Lbn 2 | BANNER BAYWOOD 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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