Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | DR.0059952 | CO |
Y | 207VX0201X | Gynecologic Oncologist | DR.0059952 | CO |
NPI | 1326459470 |
---|---|
Provider Name | Megan Cannon |
First Address | Colorado Springs, CO 80923-3468 |
Second Address | Colorado Springs, CO 80923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2014 |
Last Update Date | 28/08/2020 |