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

Gwen R Cannon

Individual provider Pediatrics Physician · NPI 1770694309

Gwen R Cannon is a Pediatrics Physician in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006

Practice location Address checks out

280 N Main St
Bountiful, UT 84010-6136
Phone: (801) 294-9933
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 831701581205 (UT)

Record details

NPI number1770694309
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 18, 2012

Other providers in Bountiful