NPI 1740285022 · live from the CMS NPI Registry
Paul B Cannon, DPM
Podiatrist, Foot & Ankle Surgery in Falls Church, VA. National Provider Identifier 1740285022, active.
NPI record
| NPI | 1740285022 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 104a E Broad St, Falls Church, VA 22046 |
| Practice phone | 703-237-1555 |
| Enumerated | June 14, 2005 |
| Last updated | December 7, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 0103300931 (VA) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 01424 (MD) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | PO1000043 (DC) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 016-005169 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.