Organization
JEANNIE M MC CANCE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNIE M MC CANCE M.D. (OWNER)
(918) 687-1634
Entity
Organization
Contact information
Practice address
826 E BROADWAY ST, MUSKOGEE, OK 74403-5124
(918) 687-1634
(918) 398-4408
Mailing address
826 E BROADWAY ST, MUSKOGEE, OK 74403-5124
(918) 687-1634
(918) 398-4408
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
16881
OK
Other
Enumeration date
11/01/2007
Last updated
11/13/2007
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