Individual
MOLLY MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1099 OHIO RIVER BLVD, SEWICKLEY, PA 15143-2056
(412) 741-5670
Mailing address
1099 OHIO RIVER BLVD, SEWICKLEY, PA 15143-2056
(412) 741-5670
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA055769
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14451795
CAQH
—
Enumeration date
10/25/2012
Last updated
07/09/2021
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