Daniel Quayle Cannon

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Clearfield, UT

NPI 1750200424 · NPPES record last updated Jul 15, 2026

Key facts

NPI
1750200424
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1717 N 775 W
Clearfield, UT 84015-6661
Phone
(208) 219-2086
NPI assigned
Jul 15, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1717 N 775 W
Clearfield, UT 84015-6661

Mailing address

1717 N 775 W
Clearfield, UT 84015-6661
Phone (208) 219-2086

Other providers in Clearfield, UT

All providers in Clearfield, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.