CHAD M CANNON

ST. JOHN ANESTHESIA SERVICES, INC.

Dr CHAD M CANNON is a male medical professional, specializing in Anesthesiology. He graduated in 2008 from University Of Oklahoma College Of Medicine.

Contact

ST. JOHN ANESTHESIA SERVICES, INC.

3500 E FRANK PHILLIPS BLVD
JANE PHILLIPS MEDICAL CENTER
BARTLESVILLE
OK
740062411

Tel: 9187443664

CHAD M CANNON Information

Npi 1790947083
Pac Id 4688825326
Professional Enrollment Id I20121106000522
Last Name CANNON
First Name CHAD
Middle Name M
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 2008
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST. JOHN ANESTHESIA SERVICES, INC.
Group Practice Pac Id 4789607938
Number Of Group Practice Members 95
Line 1 Street Address 3500 E FRANK PHILLIPS BLVD
Line 2 Street Address JANE PHILLIPS MEDICAL CENTER
Marker Of Address Line 2 Suppression
City BARTLESVILLE
State OK
Zip Code 740062411
Phone Number 9187443664
Hospital Affiliation Ccn 1 370018
Hospital Affiliation Lbn 1 JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC
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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