IndividualActive
Robert Cannon, M.D.
NPI 1104806702 · Interventional Pain Medicine Physician · Fayetteville, AR
Provider details
- NPI number
- 1104806702
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- C8066 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1708 E Joyce Blvd Ste 2
Fayetteville, AR 72703-5250
Phone: (479) 582-2800
Fax: (479) 582-2922
Approximate (ZIP-level) locationGet directions
Mailing address
1708 E Joyce Blvd Ste 2
Fayetteville, AR 72703-5250
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.