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DR. GEORGE HALES CANNON MD NPI 1770542953


NPI Information

NPI: 1770542953
Provider Name: DR. GEORGE HALES CANNON, MD
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Address:
360 E 4500 S STE 4
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 266-0055
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DR. George Hales Cannon, MD is an anatomic pathology and clinical pathology pathology in Salt Lake City, UT. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. George Hales Cannon, MD NPI is 1770542953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

360 E 4500 S STE 4
SALT LAKE CITY, UT
ZIP 84107-297
Phone: (801) 266-0055
Fax: (801) 266-0056

The enumeration date for this NPI number is 3/17/2006 and was last updated on 3/3/2008.


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
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology164808-1205UTAHYes

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
1E05124MEDICARE UPIN
287032604800106349MEDICAIDUTAH

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: 4/28/2024

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