Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 154005-1205 | UT |
NPI | 1528115763 |
---|---|
Provider Name | Dr. David L Mccann |
First Address | Park City, UT 84098-3200 |
Second Address | Salt Lake City, UT 84124-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 17/02/2016 |