Dr RICHARD CANNON is a male medical professional, specializing in Ophthalmology. He graduated in 2003.
IDAHO EYE CENTER PA
2025 E 17TH ST
IDAHO FALLS
ID
834046430
Tel: 2085242025
| Npi | 1992842264 |
| Pac Id | 8527151976 |
| Professional Enrollment Id | I20070830000784 |
| Last Name | CANNON |
| First Name | RICHARD |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | OPHTHALMOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | IDAHO EYE CENTER PA |
| Group Practice Pac Id | 1557358025 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 2025 E 17TH ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834046430 |
| Phone Number | 2085242025 |
| Hospital Affiliation Ccn 1 | 131305 |
| Hospital Affiliation Lbn 1 | STEELE MEMORIAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130007 |
| Hospital Affiliation Lbn 2 | SAINT ALPHONSUS REGIONAL 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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