GWEN R CANNON
NPI 1770694309
Pediatrics in Bountiful, UT

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

Active since August 31, 2006

280 N MAIN ST, BOUNTIFUL, UT 84010(801) 294-9933 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Gwen R Cannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWEN R CANNON (NPI 1770694309) is an individual pediatrics provider in Bountiful, Utah, licensed in Utah (831701581205) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1770694309

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameGWEN R CANNON

Location Address280 N MAIN STBountiful, UT 84010-6136

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 233-4400 · Fax (801) 233-4410

Phone(801) 294-9933

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateSeptember 18, 2012

✔ NPI 1770694309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in UT · 831701581205

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

280 N MAIN ST, Bountiful, UT 84010

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