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Contact Information

SCOTT L CANNON, MD
1650 COWLES ST
FAIRBANKS, AK99701-5925
 Phone: 907-458-5650
 Fax: 907-456-8050
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Pathology

246Q00000X
Indicates primary specialty

NPI Profile & details for SCOTT L CANNON · (Male)

NPI # 1164472742
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2006
Last updated 12/09/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 3351
  • AK Medicaid MD3351
  • AK Other 220030113 MEDICARE RR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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