Individual
DR. WILLIAM A MCGANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SHRADER ST, SAN FRANCISCO, CA 94117-1016
(415) 221-0665
(415) 221-0687
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
(916) 379-2861
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
G41054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G410540
—
CA
Enumeration date
12/13/2006
Last updated
05/17/2018
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