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NPI Verification

National Provider Identifier: 1770582983

Jeffrey R. Canham, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

4431 COUNTRY MANOR CT

DECATUR, IL 625212520

Phone: 217-422-8300

NPI Enumeration Date

July 19, 2005

NPI Number

1770582983

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