CANNON MEDICAL CLINIC INC
Osteopathic Medicine at 103 Ave, Sun City, AZ

License number
Arizona AZ4549
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. GEORGE LEE CANNON M.D.
Title: PRESIDENT
Phone: (623) 933-1337
Address
Address
13000 N 103Rd Ave #97, Sun City, AZ 85351
National Provider ID: 1174876999
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CANNON MEDICAL CLINIC, INC

13000 N 103 Ave #97, Sun City, AZ 85351

Industry:
Medical Doctor's Office
Registration:
Jan 31, 2006
Phone:
(623) 933-1337 (Phone)
State ID:
-1259767-0
Expiration:
Perpetual
Partners:
George L Cannon (President, Internal Medicine, Medical Doctor), 13000 N 103 Ave #97, Sun City, AZ 85351 (Physical),Judith A Cannon (Secretary), 13000 N 103 Ave #97, Sun City, AZ 85351 (Physical),Kathy S. Clair (Manager),...
Agent:
Corinne J Dass,10240 N 31 Ave STE 114, Phoenix, AZ 85051 (Physical)

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