Physician Assistant, Surgical
ANNIE CANNON PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1225737513 · enumerated 2023-02-27 · record updated 2025-11-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2648 E CASTO LN, SALT LAKE CITY, UT, 84117-6303 (801) 664-6128 Google Maps Apple Maps OpenStreetMap
- Practice location 900 ROUND VALLEY DR, PARK CITY, UT, 84060-7552 (435) 655-6600 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License 14245481-1206 UT
In this directory
Locations and evidence
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Practice location
PARK CITY, UT, 840607552
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.