Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 2899121205 | UT |
N | 2086S0122X | Plastic and Reconstructive Surgery | 2899121205 | UT |
NPI | 1326006917 |
---|---|
Provider Name | John David Mccann |
First Address | Salt Lake City, UT 84102-4505 |
Second Address | Salt Lake City, UT 84102-4505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 15/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015005 | ALTIUS (01) | |
100506327 | (05) | NV |
1057048 | CCN (01) | |
1057048 | FIRST HEALTH (01) | |
107030566101 | IHC (01) | |
107030566101 | IHC SELECT HEALTH (01) | UT |
114400600 | (05) | WY |
5069010 | AETNA (01) | |
521709 | DMBA (01) | |
805502900 | (05) | ID |
8806278 | CIGNA (01) | |
G12029 | (02) | |
PAR TAX ID | BEECH STREET (01) | |
PAR TAX ID | BLUE CROSS OF CA (01) | |
PAR TAX ID | GEHA (01) | |
PAR TAX ID | MAILHANDLERS (01) |