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VIRGINIA R CANNON MD PLLC NPI 1144402009


NPI Information

NPI: 1144402009
Provider Name: VIRGINIA R CANNON MD PLLC

Doing Business As: WEST OLYMPIA BONE DENSITY CENTER

Classification: Internal Medicine - 207RA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
406 YAUGER WAY SW
SUITE A
OLYMPIA, WA
ZIP 98502
Phone: (360) 352-3232
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VIRGINIA R CANNON MD PLLC is an adolescent medicine internal medicine in Olympia, WA. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. VIRGINIA R CANNON MD PLLC NPI is 1144402009. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Olympia Bone Density Center.

The provider's business location address is:

406 YAUGER WAY SW
SUITE A
OLYMPIA, WA
ZIP 98502-151
Phone: (360) 352-3232
Fax: (360) 352-2942

The provider's authorized official is Virginia R Cannon .
The authorized official title is Owner and has the following contact phone number (360) 352-3232.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 10/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0000XInternal MedicineAdolescent MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GAB34573MEDICARE PINWASHINGTON
2C76935MEDICARE UPIN
3117480MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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