| Doctor Name: | DR. CRAIG FREDERICK CANNON |
| NPI Number: | 1013025568 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 93234 |
| Business Practice Address: | 1160 Mall Dr Las Cruces, NM - 880118128 |
| Business Phone Number: | 5755213270 |
| Business Fax Number: | 5752213504 |
| Mailing Address: | Po Box 6310, LAS CRUCES |
| State: | NM |
| Postal Code: | 880066310 |
| Phone Number: | 5755213270 |
| Fax Number: | 5752213504 |
| NPI Enumeration Date: | 08/25/2006 |
| NPI Last Update Date: | 03/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 93234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |