| Austin Ron Cannon, MD | |
| 5121 S Cottonwood St, Murray, UT 84107-5701 | |
| (801) 507-7000 | |
| Not Available | 
| Full Name | Austin Ron Cannon | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 5121 S Cottonwood St, Murray, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790179653 | NPI | - | NPPES | 
| 10086826 | Other | UT | STATE OF UTAH ACTIVE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 10086826-1205 (Utah) | Primary | 
| Entity Name | Ihc Health Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Austin Ron Cannon, MD 7417 S Rich Way, Cottonwood Heights, UT 84121-4840 Ph: (919) 608-2404 | Austin Ron Cannon, MD 5121 S Cottonwood St, Murray, UT 84107-5701 Ph: (801) 507-7000 | 
| Mark John Ott, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St, Suite 400, Murray, UT 84107 Phone: 801-507-3462 Fax: 801-507-3061 | |
| Dr. Greg R. Goodman, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107 Phone: 801-713-1010 Fax: 801-713-0665 | |
| Dr. Steven W Merrell, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107 Phone: 801-713-1010 Fax: 801-713-0665 | |
| Robert Dirk Noyes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5169 Cottonwood St, #440, Murray, UT 84107 Phone: 801-507-3915 Fax: 801-507-3916 | |
| Clark J Rasmussen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 Cottonwood St, Suite 410, Murray, UT 84107 Phone: 801-266-8850 | |
| Steven R Granger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 400, Murray, UT 84107 Phone: 801-507-3460 Fax: 801-507-3458 | |
| Eric Sorenson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 400, Murray, UT 84107 Phone: 212-746-6591 |