Individual
DR. ULYSSE GEORGE MCCANN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1134 N 500 W, #100, PROVO, UT 84604-3383
(801) 357-7081
(801) 357-7351
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7081
(801) 357-7351
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2005-01389
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901721
—
NC
Enumeration date
02/26/2007
Last updated
06/04/2014
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