Dr. Craig Frederick Cannon
Internist - Cardiovascular Disease
4351 E Lohman Ave Ste 201
Las Cruces
, New Mexico 88011-8260
Dr. Craig Frederick Cannon
Internist - Cardiovascular Disease
4351 E Lohman Ave Ste 201
Las Cruces
, New Mexico 88011-8260
(575) 522-2266
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Craig Frederick Cannon
- 4351 E Lohman Ave Ste 201
- Las Cruces, NM
- Zip : 88011-8260
- Fax : (575) 522-2266
- Phone : (575) 522-2233
Second Address
- Dr. Craig Frederick Cannon
- 4351 E Lohman Ave Ste 201
- Las Cruces, NM
- Zip : 88011-8260
- Fax : (575) 522-2266
- Phone : (575) 522-2233
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 93234 | NM |
National Provider Identifier
| NPI | 1013025568 |
|---|---|
| Provider Name | Dr. Craig Frederick Cannon |
| First Address | Las Cruces, NM 88011-8260 |
| Second Address | Las Cruces, NM 88011-8260 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2006 |
| Last Update Date | 08/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G31301 | (02) | NM |
| K0715 | (05) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.