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Individual

MCCANN HOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17675 WELCH PLAZA, OMAHA, NE 68135
(402) 354-7600
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36104
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0735811
IA
05
10025302200
NE
05
1470856
IA
05
2470856
IA
05
3470856
IA
05
47068731734
NE
05
47068731741
NE
05
47068731749
NE
Enumeration date
10/24/2005
Last updated
06/29/2009
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