Individual
DUSTIN MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 TARBY RD, POTEAU, OK 74953-5504
(918) 647-2155
Mailing address
400 S BROADWAY ST, STIGLER, OK 74462-2324
(539) 232-3697
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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