Organization
TIMOTHY J MCCANN, MD, PC
Active
Organization
TIMOTHY J MCCANN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J MCCANN MD (PRESIDENT)
(314) 647-0554
Entity
Organization
Contact information
Practice address
3338 WATSON RD, SAINT LOUIS, MO 63139-2000
(314) 647-0554
(314) 647-8387
Mailing address
3338 WATSON RD, SAINT LOUIS, MO 63139-2000
(314) 647-0554
(314) 647-8387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG7621
RAILROAD MEDICARE
MO
Enumeration date
01/08/2006
Last updated
02/26/2010
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