Richard E Cannon
WESTBURY ALLERGY, P.C.


Address: 12 Westbury Dr A, St Charles, MO 63301-0001
Phone: 6367237333

Richard E Cannon (NPI# 1447364617, PAC ID# 7113973694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.

Physician Overview

Nation Provider ID (NPI) 1447364617
PAC ID by PECOS 7113973694
Professional Enrollment ID I20050329000050
Full Name Richard E Cannon
Organization Legal Name WESTBURY ALLERGY, P.C.
Address 12 Westbury Dr A
St Charles
MO 63301-0001
Phone Number 6367237333
Gender M
Credential MD
Medical School SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1961
Primary Specialty ALLERGY/IMMUNOLOGY
Group Practice PAC ID 8123074697
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
12 Westbury Dr A, St Charles, MO 63301-0001 6367237333 WESTBURY ALLERGY, P.C.

Organization Information

Organization Legal Name WESTBURY ALLERGY, P.C.
Physicians 1

Office Location

Street Address 12 WESTBURY DR A
City ST CHARLES
State MO
Zip 63301-0001

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Competitor

Search similar physicians

City ST CHARLES
Zip Code 63301
Specialty ALLERGY/IMMUNOLOGY
City + Specialty ST CHARLES + ALLERGY/IMMUNOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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