George L Cannon | Sun City, AZ • PECOS Search

George L Cannon

Internal Medicine

Allopathic & Osteopathic Physicians

13000 N 103rd Ave, #97, Sun City, AZ 85351-3060

(623) 933-1337 (702) 216-3346

PECOS Enrollment

Based on the most recent information from CMS, provider George L Cannon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1437261088
Provider Type
Individual
Full Name
Cannon, George L
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/31/2006
Last Updated
4/21/2015

Contact Information

Practice Location

13000 N 103rd Ave, #97, Sun City, AZ 85351-3060

(623) 933-6109

Mailing Location

PO Box 98978, Las Vegas, NV 89193-8978

(702) 671-6883

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 4549 Arizona