Individual
DR. JOHN WUNN CANCIAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BUMED, CENTRALIZED CREDENTIAL AND PRIVILEGING DIRECTORA, 554 KEILY STREET, JACKSONVILLE, FL 32212
(757) 953-7550
(757) 953-7560
Mailing address
BUMED, CENTRALIZED CREDENTIAL AND PRIVILEGING DIRECTORA, 554 KEILY STREET, JACKSONVILLE, FL 32212
(757) 953-7550
(757) 953-7560
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101260832
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/26/2015
Last updated
08/06/2020
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