Dr Stephen C Cannon, MD is a
Otolaryngology physician based in Highland, California. Dr Stephen C Cannon is licensed to practice in California (license number A70127) and his current practice location is 7000 Boulder Ave, Highland, California. He can be reached at his office (for appointments etc.) via phone at
(909) 862-1191.
NPI number for Dr Stephen C Cannon is 1689602013 and his current mailing address is Po Box 2200, Redlands, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689602013.
Physician's Profile
| Full Name | Dr Stephen C Cannon |
|---|
| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 7000 Boulder Ave, Highland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689602013
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Stephen C Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689602013 | NPI | - | NPPES |
| 00A701270 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | A70127 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephen C Cannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Stephen C Cannon, MD
Po Box 2200,
Redlands, CA 92373-0722
Ph: (909) 793-3311 | Dr Stephen C Cannon, MD
7000 Boulder Ave,
Highland, CA 92346-3348
Ph: (909) 862-1191 |
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