Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canon Professional, LLC

Organization Primary Care Clinic/Center · NPI 1568625549

Canon Professional, LLC is a Primary Care Clinic/Center in Canon City, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

730 Macon Ave
Canon City, CO 81212-3314
Phone: (719) 275-1618
Fax: (719) 275-7334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 24731 (CO)

Record details

NPI number1568625549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Mohr — Owner · (719) 275-1618
NPI enumeratedJuly 9, 2008
Last updated in NPPESJuly 9, 2008
Mailing address730 Macon Ave, Canon City, CO 81212-3314

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