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Gwen Cannon
NPI 1770694309 · Pediatrics Physician · Bountiful, UT
Gwen Cannon is a Pediatrics Physician provider in Bountiful, UT (NPI 1770694309).
Provider details
- NPI number
- 1770694309
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 831701581205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
280 N Main St
Bountiful, UT 84010-6136
Phone: (801) 294-9933
Street-level locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2012-09-18
Frequently asked questions
- What is Gwen Cannon's NPI number?
- Gwen Cannon's National Provider Identifier (NPI) is 1770694309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gwen Cannon's specialty?
- Gwen Cannon is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Gwen Cannon located?
- Gwen Cannon's practice location on file with NPPES is 280 N Main St, Bountiful, UT 84010-6136.
- What is Gwen Cannon's phone number?
- The practice phone number listed in the NPPES registry for Gwen Cannon is (801) 294-9933.
- Is Gwen Cannon's NPI active?
- Yes — Gwen Cannon's NPI (1770694309) is active in the NPPES registry as of the last update on 2012-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.