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

Mr. Ty Cannon, PA-C

Individual provider Physician Assistant · NPI 1417432501

Mr. Ty Cannon, PA-C is a Physician Assistant in St George, Utah. Licensed in Utah. Registered with an NPI since 2018.

Licensed in
UT
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

616 S River Rd Ste 200
St George, UT 84790-2105
Phone: (435) 628-8944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10974132-1206 (UT)

Record details

NPI number1417432501
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2018
Last updated in NPPESSeptember 25, 2018

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