| Organization Name: | CURTIS R. CANNING, MD, PC |
| NPI Number: | 1932386315 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CURTIS R CANNING (PRESIDENT) |
| Mailing Address: | 1750 Research Park Way Suite 104 North Logan |
| State: | UT US |
| Postal Code: | 843411955 |
| Phone Number: | 4357530272 |
| Fax Number: | 4357532252 |
| NPI Enumeration Date: | 01/28/2008 |
| NPI Last Update Date: | 05/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | 159037-1205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |