Individual
JEFFREY MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0001
(801) 581-4096
Mailing address
50 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0001
(801) 581-4096
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7148424-1205
UT
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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