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MR. STEPHEN CRAIG MCCANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
5390 BARKSDALE BLVD STE 100, BOSSIER CITY, LA 71112-4526
(318) 747-8105
(318) 747-8150
Mailing address
2539 VIKING DR STE 101, BOSSIER CITY, LA 71111-2165
(183) 747-8100
(183) 747-8150

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221908
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184750044
NPI
LA
Enumeration date
02/26/2007
Last updated
09/30/2021
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