Individual
DR. TIMOTHY J MCCANN
Active
Individual
DR. TIMOTHY J MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36802
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035221
CARPENTERS SUPPLEMENT
—
01
—
0450305
UHC
—
01
—
104220083
MEDICARE ID-TYPE
MO
01
—
110232845
RR MEDICARE
—
01
—
112907
BCBS MO
—
01
—
1160032
CARE PARTNERS
—
01
—
210829
HEALTHLINK
—
01
—
2632
GHP ALL
—
01
—
431890869
GREAT WEST
—
01
—
7555001
AETNA
—
01
—
A11697
MERCY
—
Enumeration date
01/02/2006
Last updated
11/02/2016
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