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NPI Verification

National Provider Identifier: 1326032939

Peter M Cannon, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

2001 S WOODRUFF AVE

SUITE 4

IDAHO FALLS, ID 834046374

Phone: 208-524-4511

NPI Enumeration Date

September 9, 2005

NPI Number

1326032939

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry