Gwen R Cannon, - Pediatrics in Bountiful, UT

Gwen R Cannon, is a Pediatrics physician based in Bountiful, Utah. Gwen R Cannon is licensed to practice in Utah (license number 831701581205) and her current practice location is 280 N Main St, Bountiful, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 294-9933.

NPI number for Gwen R Cannon is 1770694309 and her current mailing address is Po Box 27128, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770694309.

Contact Information

Gwen R Cannon,
280 N Main St,
Bountiful, UT 84010-6136
(801) 294-9933
Not Available

Map and Direction




Physician's Profile

Full NameGwen R Cannon
GenderFemale
SpecialityPediatrics
Location280 N Main St, Bountiful, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770694309
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 09/18/2012

Medical Identifiers

Medical identifiers for Gwen R Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770694309NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 831701581205 (Utah)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. Gwen R 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 AddressPractice Location Address
Gwen R Cannon,
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 233-4400
Gwen R Cannon,
280 N Main St,
Bountiful, UT 84010-6136

Ph: (801) 294-9933

Reviews and Comments


Pediatrics Doctors in Bountiful, UT

Dr. Kathleen M Liou, MD
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Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010
Phone: 801-295-2888    Fax: 801-295-0311
Dr. Brenda M Ritson, MD
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Medicare: Medicare Enrolled
Practice Location: 390 N Main St, Bountiful, UT 84010
Phone: 801-397-6350    Fax: 801-294-1183
Dr. Jonathan Milton Tew, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010
Phone: 801-295-2888    
Dr. Allison L Groebs, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010
Phone: 801-295-2888    Fax: 801-295-0311
Clark K. Loftus, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 620 Medical Dr, #100, Bountiful, UT 84010
Phone: 801-295-2888    Fax: 801-295-0311
Dr. Douglas Brent Nielsen, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 390 N Main St, Bountiful, UT 84010
Phone: 801-294-1080    Fax: 801-292-8369
Pamela J. Hildebrand, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 620 Medical Dr, #100, Bountiful, UT 84010
Phone: 801-295-2888    Fax: 801-295-0311

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