Cannon Family Medicine Llc | |
719 N Eastern Ave Crowley LA 70526-3856 | |
(337) 783-5900 | |
(337) 783-5914 |
Full Name | Cannon Family Medicine Llc |
---|---|
Speciality | Family Medicine |
Location | 719 N Eastern Ave, Crowley, Louisiana |
Authorized Official Name and Position | Stephen R Cannon (OWNER) |
Authorized Official Contact | 3377835900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cannon Family Medicine Llc 719 N Eastern Ave Crowley LA 70526-3856 Ph: (337) 783-5900 | Cannon Family Medicine Llc 719 N Eastern Ave Crowley LA 70526-3856 Ph: (337) 783-5900 |
NPI Number | 1043372089 |
---|---|
Provider Enumeration Date | 12/15/2006 |
Last Update Date | 03/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043372089 | NPI | - | NPPES |
1048577 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 025690 (Louisiana) | Primary |
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› Verified 8 days ago
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