Individual
DR. DERVILLA M. MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 GREAT FALLS PLZ, AUBURN, ME 04210-5966
(207) 782-4022
(207) 784-3537
Mailing address
2 GREAT FALLS PLAZA, AUBURN, ME 04210-5966
(207) 782-4022
(207) 784-3537
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
014267
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284120099
—
ME
Enumeration date
01/28/2006
Last updated
02/16/2012
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