NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174876999 |   |   |   | CANNON MEDICAL CLINIC INC | 13000 N 103RD AVE STE 97 | SUN CITY | AZ | 853513060 |
1922282920 |   |   |   | JEROME J KASTRUL MD LTD | 13000 N 103RD AVE #97 | SUN CITY | AZ | 853513060 |
1437261088 | CANNON | GEORGE | L |   | PO BOX 98978 | LAS VEGAS | NV | 891938978 |
1134221088 | KASTRUL | JEROME | J |   | PO BOX 98978 | LAS VEGAS | NV | 891938978 |