Garth Mckean Cannon, PA-C Valid NPI

Individual provider · Physician Assistant · Pleasant Grove, UT

NPI

1942209440

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

5384822-1206 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2005-07-18

Last updated

2015-01-16