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Individual

DONALD MCCANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1061497
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051523438
BCBS
AL
01
P00191694
RR MEDICARE
AL
Enumeration date
08/09/2006
Last updated
07/08/2007
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